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Individual

CHANTAL BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4405 AIRLINE DR, BOSSIER CITY, LA 71111-2058
(318) 747-5440
Mailing address
722 LEVITOW CIR, BARKSDALE AFB, LA 71110-2300

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
304233
LA

Other

Enumeration date
01/12/2017
Last updated
01/12/2017
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