Individual
ISIS N BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
4806 CARMEL ST, ORLANDO, FL 32808-2708
(321) 350-2207
Mailing address
4806 CARMEL ST, ORLANDO, FL 32808-2708
(321) 350-2207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA97930
FL
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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