Individual
MR. TODD DOUGLAS BOTTENFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
2961 PLACIDA RD, STE 11, ENGLEWOOD, FL 34224-8525
(941) 697-7737
(941) 697-1688
Mailing address
PO BOX 1174, ENGLEWOOD, FL 34295-1174
(941) 697-7737
(941) 697-1688
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT11482
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y043T
BC BS PROVIDER NUMBER
FL
Enumeration date
05/24/2005
Last updated
01/20/2015
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