Individual
MRS. QIANA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
8326 S LA SALLE ST, CHICAGO, IL 60620-1226
(773) 723-8486
Mailing address
9624 S CICERO AVE # 144, OAK LAWN, IL 60453-3138
(708) 299-8486
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056005637
IL
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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