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Individual
STEPHEN R BOOTH
Active
Individual
STEPHEN R BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004584
LICENSE
NY
Enumeration date
11/10/2005
Last updated
07/13/2026
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