Individual
GENELLE BOTJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
75-165 HUALALAI RD STE 100, KAILUA KONA, HI 96740-3722
(808) 329-0591
(808) 329-2066
Mailing address
1991 E AJO WAY, STE 149, TUCSON, AZ 85713-6269
(808) 329-0591
(808) 329-2066
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12523
AZ
Other
Enumeration date
06/03/2013
Last updated
08/24/2016
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