Individual
ERIN R BOTELHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
21 DIVISION ST, PAWTUCKET, RI 02860-5301
(401) 726-7100
(401) 722-9386
Mailing address
4 RICHMOND SQ STE 200, PROVIDENCE, RI 02906-5117
(401) 433-4172
(401) 433-0612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
17214
MA
225100000X
Physical Therapist
Primary
PT02460
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y68456
BCBS OF MA
MA
Enumeration date
10/13/2006
Last updated
12/05/2017
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