Provider Demographics
NPI:1992178024
Name:BUTNARASU, OANA (PT)
Entity Type:Individual
Prefix:DR
First Name:OANA
Middle Name:
Last Name:BUTNARASU
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:OANA
Other - Middle Name:
Other - Last Name:PANAITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPY
Mailing Address - Street 1:206 FOREST ST
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:ME
Mailing Address - Zip Code:04092-4201
Mailing Address - Country:US
Mailing Address - Phone:773-704-6335
Mailing Address - Fax:
Practice Address - Street 1:206 FOREST ST
Practice Address - Street 2:
Practice Address - City:WESTBROOK
Practice Address - State:ME
Practice Address - Zip Code:04092-4201
Practice Address - Country:US
Practice Address - Phone:773-704-6335
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-11
Last Update Date:2019-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60567886225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist