Individual
MR. JOHN J BUTTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS PT
Contact information
Practice address
2000 BREMO ROAD, SUITE 202, RICHMOND, VA 23226
(804) 285-0148
(804) 673-6026
Mailing address
PO BOX 147, MIDLOTHIAN, VA 23113
(804) 378-5010
(804) 378-3264
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203211
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
174357
ANTHEM
VA
Enumeration date
11/01/2006
Last updated
08/29/2007
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