MR. MAURICE BOTERO LICENSE MASSAGE THER NPI 1457549503

NPI Information

MR. Maurice Botero, LICENSE MASSAGE THER is a specialist in Elmhurst, NY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MR. Maurice Botero, LICENSE MASSAGE THER NPI is 1457549503. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4012 80TH ST
ELMHURST, NY
ZIP 11373-234
Phone: (718) 426-9595

The enumeration date for this NPI number is 10/12/2007 and was last updated on 10/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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