Individual
MR. THOMAS BOTTHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
263 QUAKER LN, WEST WARWICK, RI 02893-2122
(401) 615-2355
Mailing address
263 QUAKER LN, WEST WARWICK, RI 02893-2122
(401) 615-2355
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01592
RI
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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