Botta, Jeffrey Samuel

Botta, Jeffrey Samuel is an individual health care provider with primary practice located at 745 Middleway Pike , Inwood WV 25428-4051. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Botta, Jeffrey Samuel can be contacted via phone (304) 229-4141.

Contact Information

Primary practice address
745 Middleway Pike Inwood WV 25428-4051
Phone: (304) 229-4141
Fax: (304) 229-4143
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT003080 West Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305206652 Virginia

Profile Details

NPI number 1124370127
LBN Legal business name Botta, Jeffrey Samuel
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2012
Last updated Oct 21st, 2022 - 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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