Individual
JORDAN KANDRA BUTTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
11 AUSTIN ST, WELLSBORO, PA 16901-1703
(570) 404-5154
Mailing address
11 AUSTIN ST, WELLSBORO, PA 16901-1703
(570) 404-5154
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
025171
NY
Other
Enumeration date
11/05/2020
Last updated
11/05/2020
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