Individual
DAVID BOTELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
158 HARMON DR, NORWICH UNIVERSITY, NORTHFIELD, VT 05663-1000
(802) 485-2236
(802) 485-2234
Mailing address
25 WOODS END DR, ESSEX JUNCTION, VT 05452-4731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000028
VT
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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