Individual
LAURA J BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4400 LEAD AVE SE, ALBUQUERQUE, NM 87108-2844
(505) 266-3655
Mailing address
6233 HANNETT AVE NE, ALBUQUERQUE, NM 87110-5918
(505) 400-9382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3300
NM
Other
Enumeration date
01/27/2009
Last updated
01/27/2009
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