Individual
ANNETTE B BOTTUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N HURON ST, YPSILANTI, MI 48197-2608
(734) 340-6914
(734) 879-2774
Mailing address
4660 NUTMEG DR, YPSILANTI, MI 48197-6827
(315) 440-1998
(734) 879-2774
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Enumeration date
02/02/2012
Last updated
04/05/2012
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