Provider Demographics
NPI:1497855514
Name:BUTKUS, JOSEF ANTHONY (MS OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JOSEF
Middle Name:ANTHONY
Last Name:BUTKUS
Suffix:
Gender:M
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3158 18TH ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20010-2636
Mailing Address - Country:US
Mailing Address - Phone:202-265-3076
Mailing Address - Fax:
Practice Address - Street 1:6900 GEORGIA AVE, NW
Practice Address - Street 2:WALTER REED, BLDG 2, RM 3J04
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20307-5001
Practice Address - Country:US
Practice Address - Phone:202-782-6374
Practice Address - Fax:202-782-4639
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119003418225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist