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1568703213
DEREK DOUGLAS BOTTEN
SILSBEE, TX
NPI
1568703213
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2056408)
Enumeration Date
2013-03-05
Last Update Date
2013-03-05
Business Address
DEREK DOUGLAS BOTTEN PTA
103 BRITTON DR
SILSBEE, TX 77656-3828
Phone number: 409-550-8873
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Mailing Address
DEREK DOUGLAS BOTTEN PTA
103 BRITTON DR
SILSBEE, TX 77656-3828
Phone number: 409-550-8873
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