Individual
RACHEL BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 CAL DR, DAVISON, MI 48423-9016
(517) 449-9984
Mailing address
4335 KNOLLWOOD DR, GRAND BLANC, MI 48439-2028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N299853
—
MI
Enumeration date
12/16/2018
Last updated
12/16/2018
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