Individual
KATHRYN ELIZABETH RAND BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
318 S NORWOOD ST, WALLACE, NC 28466-1446
(910) 285-1799
Mailing address
10 DAREL ST., ROCKY POINT, NC 28457
(910) 998-3232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
18587
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18587
NC PT LICENSE #
NC
Enumeration date
03/26/2019
Last updated
07/26/2022
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