Provider Demographics
NPI:1114768454
Name:LEON BUTRON, SANDRA D
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:D
Last Name:LEON BUTRON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25802 E CEDAR PL
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-1713
Mailing Address - Country:US
Mailing Address - Phone:720-998-4322
Mailing Address - Fax:
Practice Address - Street 1:25802 E CEDAR PL
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-1713
Practice Address - Country:US
Practice Address - Phone:720-998-4322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-06-03
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist