Individual
BLAINE ERIC BOOHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 388-1448
(512) 388-7854
Mailing address
16020 PARK VALLEY DR, ROUND ROCK, TX 78681-3573
(512) 388-1448
(512) 388-7854
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
1191290
TX
Other
Enumeration date
07/28/2010
Last updated
07/28/2010
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