-- SHAWNA DENISE BOTOS -- PTA
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1437493772- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 8211 W USTICK RD, BOISE, ID, 837045756
- Phone
- (208) 375-3700
- Fax
- (208) 639-3048
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: ID #PTA-362