Individual
LAURA EVELYN BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPTA
Contact information
Practice address
2052 DORIS RD, AUGUSTA, GA 30906-2104
(229) 532-5355
Mailing address
2052 DORIS RD, AUGUSTA, GA 30906-2104
(229) 532-5355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000099
GA
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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