Individual
LAUREN KIMBERLY BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
130 LOMOND CT, UTICA, NY 13502-5957
(315) 724-4286
(315) 724-4170
Mailing address
130 LOMOND CT, UTICA, NY 13502-5957
(315) 724-4286
(315) 724-4170
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
043741
NY
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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