Individual
MRS. LISA BUTTERBAUGH MCGOVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
5705 E 81ST ST, INDIANAPOLIS, IN 46250
(574) 276-1180
Mailing address
5705 E 81ST ST, INDIANAPOLIS, IN 46250-1723
(574) 276-1180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004500A
IN
Other
Enumeration date
02/12/2008
Last updated
11/25/2018
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