Individual
LAUREN MAE BUTTERBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
742 STERBENZ DR, ST CROIX THERAPY INC, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119
Mailing address
742 STERBENZ DR, ST CROIX THERAPY INC, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5519
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5519
WISCONSIN LICENSE
WI
Enumeration date
07/24/2014
Last updated
01/09/2015
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