Individual
KATIE ELIZABETH BOTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(703) 575-8129
Mailing address
10406 SAINT RENE RD, LOUISVILLE, KY 40299-4043
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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