Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT017385 | OH |
NPI | 1003264490 |
---|---|
Provider Name | Erin Ashley Butler |
First Address | Cincinnati, OH 45240-2602 |
Second Address | Mason, OH 45040-9362 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2016 |
Last Update Date | 01/11/2018 |