Individual
KIMBERLY ANN BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT/OTR
Contact information
Practice address
11851 HERON LAKE RD, SAINT JOHN, IN 46373-9059
(219) 577-2400
Mailing address
11851 HERON LAKE RD, SAINT JOHN, IN 46373-9059
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004434A
IN
Other
Enumeration date
04/27/2020
Last updated
04/27/2020
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