Individual
MRS. RACHEL LOUISE BOTHUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Mailing address
1200 S COLUMBIA RD, GRAND FORKS, ND 58201-4036
(701) 780-5000
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2070
ND
225100000X
Physical Therapist
9932
MN
Other
Enumeration date
06/18/2015
Last updated
03/30/2017
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