Individual
VICTORIA LYNN BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2801 HEARTLAND DR, CORALVILLE, IA 52241-2733
(319) 645-4194
Mailing address
1530 ROCK ISLAND DR, ELY, IA 52227-9667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
125526
IA
Other
Enumeration date
12/10/2024
Last updated
12/10/2024
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