Individual
MARIANNE TAVORA BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8451 US 301 S, RIVERVIEW, FL 33578-5450
(813) 671-0222
Mailing address
13612 TONYA ANNE DR, RIVERVIEW, FL 33579-3001
(757) 354-8975
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28415
FL
Other
Enumeration date
08/18/2019
Last updated
08/18/2019
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