Individual
BRIANNE BOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
534 ROUTE 6, MAHOPAC, NY 10541-4746
(914) 419-5267
Mailing address
5 LAURA DR, CHESTER, NY 10918-2516
(845) 544-5678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028708
NY
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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