Individual
ALEXIS BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, CSCS
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2575
(650) 823-9453
Mailing address
127 PEBBLE BEACH DR, HAMPSTEAD, NC 28443-8050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
43302
CA
Other
Enumeration date
11/23/2015
Last updated
04/09/2020
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