Individual
JASON BOTTOMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1500 SAWMILL RD, RALEIGH, NC 27615-4320
(919) 848-7125
Mailing address
119 APPLE ST, CHAPEL HILL, NC 27514-1901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P19767
NC
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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