Individual
MRS. PATRICIA BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
115 CLEVELAND PL, MASSAPEQUA, NY 11758-6328
(516) 798-7126
(516) 797-6505
Mailing address
115 CLEVELAND PL, MASSAPEQUA, NY 11758-6328
(516) 798-7126
(516) 797-6505
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
006465
NY
Other
Enumeration date
10/08/2010
Last updated
10/08/2010
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