Individual
JACQUELINE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
445 S. MAIN STREET, EASTERN REHABILITATION NETWORK 5TH FLOOR, WEST HARTFORD, CT 06110
(860) 521-8800
(860) 521-8801
Mailing address
181 PATRICIA GENOVA DRIVE, EASTERN REHABILITATION NETWORK 5TH FLOOR, NEWINGTON, CT 06111
(860) 667-5449
(860) 667-8416
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006952
CT
Other
Enumeration date
01/26/2006
Last updated
07/09/2007
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