Individual
MRS. ANDREA LEIGH BOTTORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 PRALL RD, HENRYVILLE, IN 47126-9743
(502) 931-8735
Mailing address
310 PRALL RD, HENRYVILLE, IN 47126-9743
(502) 931-8735
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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