Amanda Jeanice Buttress, PT
Physical Therapist in Miami, OK. Individual provider (NPI-1).
NPI number1124232152
StatusActive
Last updated in NPPESNov 4, 2013
Details
- NPI
- 1124232152
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amanda Jeanice Buttress
- Credential
- PT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 9, 2007
- Last updated
- Nov 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 3817 | OK | Yes |
Practice location
1505 E Steve Owens BlvdMiami, OK 74354-7917
Phone 918-542-4101 · Fax 918-542-4410
Mailing address
Po Box 201Wyandotte, OK 74370-0201
Phone 918-688-5182
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