Individual
MR. DALE LYNN BOTSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.T.
Contact information
Practice address
211 S TIMBERLAND DR, LUFKIN, TX 75901-4065
(936) 632-5511
(936) 632-5633
Mailing address
211 S TIMBERLAND DR, LUFKIN, TX 75901-4065
(936) 632-5511
(936) 632-5633
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1040079
TX
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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