Individual
DR. CARL GABRIEL BOTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1300 HOSPITAL DR STE 220, MOUNT PLEASANT, SC 29464-3208
(843) 936-6238
Mailing address
434 CARRIAGE LN, MOUNT PLEASANT, SC 29464-3003
(843) 609-5405
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11481
SC
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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