Individual
DR. MELISSA YVONNE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, PCS
Contact information
Practice address
3920 WOODLAND HEIGHTS RD, LITTLE ROCK, AR 72212-2495
(501) 227-3600
(501) 227-4021
Mailing address
201 DONAGHEY AVE, PT CENTER SUITE 308, CONWAY, AR 72035-5003
(501) 450-5543
(501) 450-5822
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
705
AR
2251P0200X
Pediatric Physical Therapist
Primary
705
AR
Other
Enumeration date
10/17/2012
Last updated
10/17/2012
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