Individual
RICKI BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2453 US HIGHWAY 17, RICHMOND HILL, GA 31324-5959
(912) 445-5612
Mailing address
138 DUKES WAY, SAVANNAH, GA 31419-8953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004011
GA
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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