Individual
HEIDI BOOTHBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18285 E 10 MILE RD, STE 100, ROSEVILLE, MI 48066-5802
(586) 774-5774
(586) 774-5884
Mailing address
34751 KIMBERLY DR, APT. F16, STERLING HEIGHTS, MI 48312-5090
(586) 774-5774
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501013901
MI
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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