Individual
MARJORIE LISA BUTIKOFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
418 S EAST ST, FORT GIBSON, OK 74434-8719
(918) 478-4480
(918) 478-4480
Mailing address
418 S EAST ST, FORT GIBSON, OK 74434-8719
(918) 478-4480
(918) 478-4480
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0065
OK
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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