Individual
DEANA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
G1071 N BALLENGER HWY, STE 105, FLINT, MI 48504-4453
(810) 262-7899
Mailing address
3160 N BELSAY RD, FLINT, MI 48506-2276
(810) 241-2412
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001929
MI
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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