Individual
LORA ROSE BUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4717 FAIRWAY POINTE CT, LOUISVILLE, KY 40241-3431
(606) 571-2857
Mailing address
4717 FAIRWAY POINTE CT, LOUISVILLE, KY 40241-3431
(606) 571-2857
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
174806
KY
225X00000X
Occupational Therapist
31006550A
IN
252Y00000X
Early Intervention Provider Agency
Primary
175806
KY
Other
Enumeration date
02/28/2018
Last updated
08/10/2022
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