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Individual

CEDRIC BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTA/L

Contact information

Practice address
500 CARE LN, AZTEC, NM 87410-1552
(505) 334-9445
Mailing address
500 CARE LN, AZTEC, NM 87410-1552

Taxonomy

Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary

Other

Enumeration date
11/07/2018
Last updated
11/07/2018
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