Individual
MR. BRIAN CHRISTOPHER BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
74240 TALLASSEE HWY, WETUMPKA, AL 36092-5504
(334) 514-4488
(334) 514-4424
Mailing address
300 CROMMELIN DRIVE, WETUMPKA, AL 36092
(334) 201-2852
(334) 514-4424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH6906
AL
Other
Enumeration date
08/08/2013
Last updated
08/14/2013
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