| NPI | 1114116068 |
|---|---|
| Former Name | ANNA KATHLEEN BUTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: GA PT009225) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: GA PT009225) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-30 |