Individual
NICOLE RAE BUTCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
732 GREEN CASTLE CT, WEST DUNDEE, IL 60118-3316
(224) 715-3328
Mailing address
732 GREEN CASTLE CT, WEST DUNDEE, IL 60118-3316
(224) 715-3328
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013990
IL
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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