Individual
CHRISTINE BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
610 S JENNINGS AVE STE E, FORT WORTH, TX 76104-3209
(682) 231-2674
Mailing address
4912 RIVERBEND DR, FORT WORTH, TX 76109-2435
(571) 212-6145
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
1353885
TX
2251P0200X
Pediatric Physical Therapist
2305204619
VA
Other
Enumeration date
02/21/2007
Last updated
01/24/2024
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