Individual
MS. MARILYN SANDRA BOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MARILYN BOTTA
Contact information
Practice address
304 CALDWELL CIR, AUGUSTA, GA 30909-5728
(706) 231-5008
Mailing address
304 CALDWELL CIR, AUGUSTA, GA 30909-5728
(706) 231-5008
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT006157
GA
Other
Enumeration date
06/20/2011
Last updated
09/26/2011
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