Individual
MRS. AMY M BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
100 DOCTORS DR, SUITE 105, DOUGLAS, GA 31533-2210
(912) 383-5645
(912) 383-5677
Mailing address
1420 BAY TREE RD, NASHVILLE, GA 31639-9149
(229) 686-9470
(912) 383-5677
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA000825
GA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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