Individual
DIANE BOTTARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
4458 WASHINGTON ST, ROSLINDALE, MA 02131-3440
(617) 323-4377
(617) 323-8077
Mailing address
24 DEWEY RD, BRAINTREE, MA 02184-1204
(781) 603-4389
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2620
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA8919
HARVARD PILGRIM HEALTH
MA
01
—
Y37008
BCBSMA
MA
Enumeration date
07/19/2006
Last updated
02/09/2023
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