Individual
DENISE BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 213-3707
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06002245A
IN
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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