Individual
NICOLE BOTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9325 MIDLOTHIAN TPKE STE A, NORTH CHESTERFIELD, VA 23235-4943
(757) 490-3223
Mailing address
9325 MIDLOTHIAN TPKE STE A, NORTH CHESTERFIELD, VA 23235-4943
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010983
VA
Other
Enumeration date
07/28/2025
Last updated
08/07/2025
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