Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OC005138L | PA |
NPI | 1003948407 |
---|---|
Provider Name | Daniel C Butts JR. |
First Address | Pittsburgh, PA 15219 |
Second Address | Pittsburgh, PA 15203-2054 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 26/04/2021 |