Organization
OCEAN OF CHANGE THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRYNN N BUTZMAN OTD, OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(408) 813-1762
Entity
Organization
Contact information
Practice address
10907 S EASTERN AVE STE 100, HENDERSON, NV 89052-5863
(702) 867-4266
Mailing address
2505 ANTHEM VILLAGE DR STE E380, HENDERSON, NV 89052-5505
(702) 867-4266
(702) 867-4261
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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