Individual
SAMANTHA BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
870 WALT MILLER ST, MT PLEASANT, SC 29464-2969
(843) 971-0291
Mailing address
870 WALT MILLER ST, MT PLEASANT, SC 29464-2969
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13077
SC
Other
Enumeration date
09/04/2015
Last updated
09/17/2025
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