Individual
WALTER BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6284 HUNTCLIFF DR, FLOWERY BRANCH, GA 30542-6405
(678) 531-6397
Mailing address
6284 HUNTCLIFF DR, FLOWERY BRANCH, GA 30542-6405
(678) 531-6397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003483
GA
Other
Enumeration date
07/24/2015
Last updated
07/24/2015
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