Individual
MRS. PAMELA W BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1229 S 2ND ST, CLEARFIELD, PA 16830-3305
(814) 765-0221
(814) 765-3011
Mailing address
918 GINTER MORANN HWY, SMITHMILL, PA 16680-9712
(814) 378-6076
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OC003396L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0188723
—
PA
Enumeration date
07/18/2006
Last updated
02/11/2010
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