Individual
DEIDRE ANN BOATRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1 SAVANNAH SQUARE DR, SAVANNAH, GA 31406-6755
(912) 503-2698
Mailing address
1 SAVANNAH SQUARE DR, SAVANNAH, GA 31406-6755
(912) 503-2698
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT021642
PA
2251G0304X
Geriatric Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
10/27/2011
Last updated
02/08/2021
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