Individual
BERENDA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
112 HARVARD AVE # 260, CLAREMONT, CA 91711-4716
(909) 981-7251
Mailing address
6520 GREEN VALLEY CIR APT 315, CULVER CITY, CA 90230-8019
(310) 645-3758
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20480
CA
Other
Enumeration date
01/17/2007
Last updated
07/08/2007
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