ANTHONY CALVIN BOTOS

BOISE, ID
NPI1053868430
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-363)
Enumeration Date2016-09-02
Last Update Date2016-09-02
Business Address
-- ANTHONY CALVIN BOTOS LPTA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-1553
Mailing Address
-- ANTHONY CALVIN BOTOS LPTA
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-1553
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