Individual provider · NPI-1

Alexandra Dawn Butterfield, OTR/L

Occupational Therapist · Waukesha, WI

NPI number1811344849
StatusActive
Last updated in NPPESOct 28, 2020

Details

NPI
1811344849
Entity type
Individual (NPI-1)
Name
Alexandra Dawn Butterfield
Credential
OTR/L
Sex
Female
Sole proprietor
No
Enumeration date
May 19, 2016
Certification date
Oct 28, 2020
Last updated
Oct 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist5980-26WIYes
225X00000X Occupational Therapist105057MN

Other names

  • Alex Wylie (Former Name)

Practice location

3209 Tanglewood Dr
Waukesha, WI 53189-6889

Phone 952-797-3009

Mailing address

3209 Tanglewood Dr
Waukesha, WI 53189-6889

Phone 952-797-3009

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