Individual
MS. CANESIA V BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,RKT
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
8911 BRIDGEFORD OAKS DR, TEMPLE TERRACE, FL 33637-5126
(813) 972-2000
Taxonomy
Speciality
Code
Description
License number
State
226300000X
Kinesiotherapist
Primary
1756
MS
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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