Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 117796 | TX |
Y | 225XP0200X | Occupational Therapist - Pediatrics | 117796 | TX |
NPI | 1003339706 |
---|---|
Provider Name | Rahael Butris |
First Address | Frisco, TX 75034 |
Second Address | Frisco, TX 75034 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2017 |
Last Update Date | 15/08/2018 |