SHAWNA DENISE BOTOS

BOISE, ID
NPI1437493772
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: ID  PTA-362)
Enumeration Date2012-11-26
Last Update Date2012-11-26
Business Address
-- SHAWNA DENISE BOTOS PTA
8211 W USTICK RD
BOISE, ID 83704-5756
Phone number: 208-375-3700
Mailing Address
-- SHAWNA DENISE BOTOS PTA
8211 W USTICK RD
BOISE, ID 83704-5756
Phone number: 208-375-3700
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