Individual
CARRIE JANE BOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
700 PASSAIC AVE, WEST CALDWELL, NJ 07006-6408
(973) 575-7576
Mailing address
155 WOOTTON ST, BOONTON, NJ 07005-2250
(973) 334-2720
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01096000
NJ
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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