Bottum, Roxanne C

Bottum, Roxanne C is an individual health care provider with primary practice located at 4600 4Th St N , St Petersburg FL 33703-3802. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Bottum, Roxanne C can be contacted via phone (727) 527-5272.

Contact Information

Primary practice address
4600 4Th St N St Petersburg FL 33703-3802
Phone: (727) 527-5272
Fax: (727) 522-7412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X OT2514 Florida

Profile Details

NPI number 1750355202
LBN Legal business name Bottum, Roxanne C
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 6th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750355202 NPPES
Florida MEDICAID 888952000

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