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Individual

LYNNETTE RENEE BOOTH

Active
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Individual

LYNNETTE RENEE BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21641
MD
225100000X
Physical Therapist
2305204962
VA
225100000X
Physical Therapist
70014963
IL
225100000X
Physical Therapist
7968
SC
225100000X
Physical Therapist
870878
DC
225100000X
Physical Therapist
Primary
PT014584
GA

Other

Enumeration date
05/20/2008
Last updated
02/21/2024
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