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Individual

TESS BOTSFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
101 MANNING DR, CHAPEL HILL, NC 27517
(984) 974-5300
(984) 974-5305
Mailing address
101 MANNING DR, CHAPEL HILL, NC 27517
(984) 974-5300
(984) 974-5305

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10183
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10183
NC LICENSURE
NC
01
353010
NBCOT REGISTRATION
NC
Enumeration date
03/18/2016
Last updated
04/30/2018
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