Individual
GAYLE I BOTELHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1 WINOOSKI PARK, COLCHESTER, VT 05439-0001
(802) 654-2496
Mailing address
25 WOODS END DR, ESSEX JUNCTION, VT 05452-4731
(802) 922-2166
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104-0000103
VT
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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