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1912105974
MICHELE A BOTNICK
GERMANTOWN, TN
NPI
1912105974
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TN PTA0000003312)
Enumeration Date
2007-07-10
Last Update Date
2007-07-10
Business Address
Ms. MICHELE A BOTNICK PTA
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-3180
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Mailing Address
Ms. MICHELE A BOTNICK PTA
1400 S GERMANTOWN RD
GERMANTOWN, TN 38138-2205
Phone number: 901-759-3180
Copy
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