Individual
BEVERLY A BOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
8040 COLRAIN DR, PORT RICHEY, FL 34668-4405
(727) 697-0652
Mailing address
8040 COLRAIN DR, PORT RICHEY, FL 34668-4405
(727) 697-0652
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA42990
FL
Other
Enumeration date
08/21/2007
Last updated
07/23/2008
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