Individual
AMANDA M BOTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1115 GARTH BROOKS BLVD, YUKON, OK 73099-4106
(405) 354-6698
Mailing address
700 NW 7TH ST, OKLAHOMA CITY, OK 73102-1212
(405) 609-3658
(800) 506-3795
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5683
OK
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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