Individual
DANA BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1037 MAIN ST, LEICESTER, MA 01524-1313
(508) 892-1335
(508) 892-1782
Mailing address
1 CREDIT UNION WAY FL 3, RANDOLPH, MA 02368-4633
(781) 961-3370
(781) 961-1291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22139
MA
225100000X
Physical Therapist
PT000003524
TN
Other
Enumeration date
11/08/2006
Last updated
07/29/2020
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