Provider Demographics
NPI:1548803158
Name:BUTTERFLY THERAPIES, INC.
Entity Type:Organization
Organization Name:BUTTERFLY THERAPIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KARYN
Authorized Official - Middle Name:
Authorized Official - Last Name:BUKY
Authorized Official - Suffix:
Authorized Official - Credentials:OTL
Authorized Official - Phone:949-709-0777
Mailing Address - Street 1:29863 SANTA MARGARITA PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-3625
Mailing Address - Country:US
Mailing Address - Phone:949-709-0777
Mailing Address - Fax:
Practice Address - Street 1:29863 SANTA MARGARITA PKWY STE 100
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-3625
Practice Address - Country:US
Practice Address - Phone:949-709-0777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-26
Last Update Date:2019-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities