Individual
LIZ BOTTOMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA-CCC/SLP
Contact information
Practice address
47998 CEDARCREST TRL, RUSH CITY, MN 55069-2564
(320) 358-3682
Mailing address
6448 MAIN ST, P.O. BOX 214, NORTH BRANCH, MN 55056-7068
(651) 277-2543
(651) 277-2544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5566
MN
Other
Enumeration date
06/05/2009
Last updated
09/23/2009
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