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NPI Code Detail

MEDICARE: MRS. PAMELA W BUTLER OTR

MEDICARE: MRS. PAMELA W BUTLER OTR
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
1174400000XSpecialistOC003396LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952320202
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PAMELA W BUTLER OTR
Provider Business Mailing Address
First Line : 918 GINTER MORANN HWY
Second Line :
City : SMITHMILL
State : PA
Zip : 16680-9712
Country : US
Telephone Number : 814-378-6076
Fax Number :
Provider Business Practice Location Address
First Line : 1229 S 2ND ST
Second Line :
City : CLEARFIELD
State : PA
Zip : 16830-3305
Country : US
Telephone Number : 814-765-0221
Fax Number : 814-765-3011
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 02/11/2010

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