Individual
AMANDA BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
190 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 587-7300
(866) 837-9923
Mailing address
190 QUINCY AVE, BROCKTON, MA 02302-2803
(508) 587-7300
(866) 837-9923
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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