Individual
TERRI A BOTTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9471 THREE RIVERS RD STE D, GULFPORT, MS 39503-4230
(228) 822-9066
Mailing address
PO BOX 3238, GULFPORT, MS 39505-3238
(228) 822-9066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
12/01/2010
Last updated
12/01/2010
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