Individual
AMANDA BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
20470 N LAKE PLEASANT RD STE 107, PEORIA, AZ 85382-9708
(623) 248-3324
Mailing address
15116 N COTTON LN, SURPRISE, AZ 85388-9618
(623) 248-3324
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008910
AZ
225XP0200X
Pediatric Occupational Therapist
OTH-008910
AZ
Other
Enumeration date
08/13/2020
Last updated
07/17/2024
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