Individual
AUDRA BUTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2700 SOUTHAVEN RD, ANNAPOLIS, MD 21401-7122
(410) 897-1300
Mailing address
2700 SOUTHAVEN RD, ANNAPOLIS, MD 21401-7122
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
06485
MD
225X00000X
Occupational Therapist
9948
MA
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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