Individual
MR. DAVID GEORGE BOTNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1702 OWEN DR, FAYETTEVILLE, NC 28304-3419
(910) 323-3184
Mailing address
505 LAKE FOREST DR SE, PINEHURST, NC 28374-9465
(910) 690-8120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2892
NC
Other
Enumeration date
08/08/2006
Last updated
07/08/2007
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