Individual
COLTER BOTHWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
(971) 224-2040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7502
AZ
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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