Individual
LYNNETTE RENEE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
2865B N DRUID HILLS RD NE, ATLANTA, GA 30329-3924
(404) 228-3678
Mailing address
4508 MERRYGOLD BLVD, CLEVELAND, OH 44128-5037
(202) 460-9716
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
225100000X
Physical Therapist
—
—
Other
Enumeration date
05/20/2008
Last updated
02/21/2024
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