NPI 1003352014

Irene Butala

Practitioner Occupational Therapy Assistant Crystal Lake, IL

Practice location

Address: 471 W Terra Cotta Ave, Crystal Lake, IL 60014-3434
Phone: (815) 455-0550

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 057.004114 (IL)

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Registry record

NPI: 1003352014
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jan 2017
Record last updated: 13 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.