Individual
REBECCA LINDY BOOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6869 DAVIS BLVD, NAPLES, FL 34104-5320
(239) 348-6000
Mailing address
25117 SW PARKWAY AVE STE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
30312
FL
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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