Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 0906 | NH |
N | 2251C2600X | Cardiopulmonary | 5612 | MA |
NPI | 1669518338 |
---|---|
Provider Name | Linda Botos |
First Address | Hudson, NH 03051-4170 |
Second Address | Hudson, NH 03051-4170 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 08/07/2007 |