Individual
MRS. KIMBERLY SUE BOOZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
32 S MAIN ST, JOHNSTOWN, OH 43031-1225
(740) 967-0303
(740) 967-2332
Mailing address
10853 LAFAYETTE RD, JOHNSTOWN, OH 43031-9396
(740) 334-1395
(740) 892-3617
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 05449
OH
Other
Enumeration date
10/29/2006
Last updated
07/08/2007
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