Individual
JAMIE LYNN BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
Mailing address
PO BOX 31001-0698, PASADENA, CA 91110-0698
(602) 263-1200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501018356
MI
Other
Enumeration date
09/18/2017
Last updated
04/16/2019
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