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1093172249
COLTER BOTHWELL
WILSONVILLE, OR
NPI
1093172249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 7502)
Enumeration Date
2016-01-19
Last Update Date
2016-01-19
Business Address
-- COLTER BOTHWELL
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
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Mailing Address
-- COLTER BOTHWELL
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number: 971-224-2040
Copy
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