# BUTTERFLY THERAPEUTIC CLINIC, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316664741
- **Authorized official:** KEYCHA CAMACHO OT (PRESIDENT)
- **Authorized official phone:** (787) 368-1184

## Contact information

- **Practice address:** CALLE SUR \#349, DORADO, PR 00646
- **Practice address phone:** (787) 459-1491
- **Practice address fax:** (787) 998-2581
- **Mailing address:** URB. GRAN VISTA 8 CAMINO DEL PLATA, TOA ALTA, PR 00953-8530
- **Mailing address phone:** (787) 368-1184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 224Z00000X | Occupational Therapy Assistant | — | NULL | — |
| 224Z00000X | Occupational Therapy Assistant | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/26/2022
- **Last updated:** 11/20/2022
