Individual
MS. LISA MARIE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1979 CENTRAL AVE, ALBANY, NY 12205-4501
(518) 464-6304
Mailing address
48 SURREY HILL DR, LATHAM, NY 12110-5459
(508) 608-6246
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005352-1
NY
Other
Enumeration date
06/23/2011
Last updated
06/23/2011
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