Organization
BOOTHBY THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER D BOOTHBY MPA, NHA (CO-OWNER)
(603) 524-4385
Entity
Organization
Contact information
Practice address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-4385
(603) 524-1497
Mailing address
806 N MAIN ST, LACONIA, NH 03246-2603
(603) 524-4385
(603) 524-1497
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50Y996500NH01
ANTHEM
NH
Enumeration date
05/09/2007
Last updated
08/22/2020
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