Individual
ANTHONY BOTHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 915-5005
Mailing address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 915-5005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070015414
IL
Other
Enumeration date
02/09/2007
Last updated
10/28/2009
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