Individual
HEATHER BOTJER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC MS
Contact information
Practice address
46 OLD RIDGE RD, WARWICK, NY 10990-2619
(845) 544-7211
Mailing address
46 OLD RIDGE RD, WARWICK, NY 10990-2619
(845) 544-7211
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4150-1
NY
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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