Individual
ANGELICA BUTANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5300 N MERIDIAN AVE STE 9A, OKLAHOMA CITY, OK 73112-2137
(405) 410-8814
(405) 467-4552
Mailing address
1420 N REGATTA DR, OKLAHOMA CITY, OK 73127-9709
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2091
OK
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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