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NPI Code Detail

MEDICARE: MRS. TAMI BUTLER MSPT

MEDICARE: MRS. TAMI BUTLER MSPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT19588FL

General Provider Information

NPI Number : 1033444856
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. TAMI BUTLER MSPT
Provider Business Mailing Address
First Line : 6645 VINELAND ROAD
Second Line : SUITE 270
City : ORLANDO
State : FL
Zip : 32819
Country : US
Telephone Number : 407-244-5554
Fax Number : 407-244-1997
Provider Business Practice Location Address
First Line : 6645 VINELAND RD
Second Line : SUITE 270
City : ORLANDO
State : FL
Zip : 32819-7841
Country : US
Telephone Number : 407-244-5554
Fax Number : 407-244-1997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2009
Last Update Date : 11/02/2011

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