Individual provider · NPI-1

Jordan Butler

Occupational Therapist · Conroe, TX

NPI number1275276602
StatusActive
Last updated in NPPESApr 14, 2022

Details

NPI
1275276602
Entity type
Individual (NPI-1)
Name
Jordan Butler
Sex
Female
Sole proprietor
No
Enumeration date
Apr 14, 2022
Certification date
Mar 30, 2022
Last updated
Apr 14, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist122563TXYes

Practice location

11133 I-45 S.
Suite 190
Conroe, TX 77302

Phone 936-494-0570 · Fax 936-494-0571

Mailing address

11133 I-45 S.
Suite 190
Conroe, TX 77302

Phone 936-494-0570 · Fax 936-494-0571

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