TIMOTHY LEE BOTIC

CHARLOTTE, NC
NPI1487925681
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: NC  0904)
Enumeration Date2012-01-19
Last Update Date2012-01-25
Business Address
-- TIMOTHY LEE BOTIC LAT, ATC
4400 GOLF ACRES DR BUILDING J, SUITE D
CHARLOTTE, NC 28208-5990
Phone number: 704-796-9961
Mailing Address
-- TIMOTHY LEE BOTIC LAT, ATC
PO BOX 32861
CHARLOTTE, NC 28232-2861
Phone number: 704-588-3762
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