Individual
MRS. SARA LYNN BOTMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
793 N ALMA SCHOOL RD, SUITE D4, CHANDLER, AZ 85224-3681
(480) 626-4142
(480) 626-7370
Mailing address
490 E KENT AVE, CHANDLER, AZ 85225-1242
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2108
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
724056
—
AZ
Enumeration date
12/11/2006
Last updated
05/22/2008
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