Irene Butala
Occupational Therapy Assistant
471 W Terra Cotta Ave
Crystal Lake
, Illinois 60014-3434
Irene Butala
Occupational Therapy Assistant
471 W Terra Cotta Ave
Crystal Lake
, Illinois 60014-3434
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About
Features
Specialties
- Occupational Therapy Assistant
Languages spoken
- English
Location
First Address
- Irene Butala
- 471 W Terra Cotta Ave
- Crystal Lake, IL
- Zip : 60014-3434
- Phone :
Second Address
- Irene Butala
- 471 W Terra Cotta Ave
- Crystal Lake, IL
- Zip : 60014-3434
- Phone : (815) 455-0550
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 057.004114 | IL |
National Provider Identifier
| NPI | 1003352014 |
|---|---|
| Provider Name | Irene Butala |
| First Address | Crystal Lake, IL 60014-3434 |
| Second Address | Crystal Lake, IL 60014-3434 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/01/2017 |
| Last Update Date | 13/01/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.