Individual
ERIC ROSS BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
100 RICE MINE RD LOOP STE 102, TUSCALOOSA, AL 35406-2423
(205) 539-3710
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1-0774
AL
225100000X
Physical Therapist
Primary
PTH7664
AL
2251X0800X
Orthopedic Physical Therapist
PT015562
GA
Other
Enumeration date
06/05/2015
Last updated
10/21/2024
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