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Individual

CARLY BOOTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
160 WARREN C COLEMAN BLVD N, CONCORD, NC 28027-6786
(704) 743-4101
Mailing address
160 WARREN C COLEMAN BLVD N, CONCORD, NC 28027-6786
(704) 743-4101

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4736
NC

Other

Enumeration date
02/27/2014
Last updated
02/27/2014
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