Cedric Butler, ota/l
Occupational Therapist, Physical Rehabilitation in Aztec, NM. Individual provider (NPI-1).
NPI number1982172011
StatusActive
Last updated in NPPESNov 7, 2018
Details
- NPI
- 1982172011
- Entity type
- Individual (NPI-1)
- Name
- Cedric Butler
- Credential
- ota/l
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2018
- Last updated
- Nov 7, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225XP0019X | Occupational Therapist, Physical Rehabilitation | – | – | Yes |
Practice location
500 Care LnAztec, NM 87410-1552
Phone 505-334-9445
Mailing address
500 Care LnAztec, NM 87410-1552
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