Susan L Booth

NPI #1063434892 in Warren, Ohio

Provider Information

NPI Number: 1063434892
Entity Type: Individual
Name: Susan L Booth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jul 24, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 4451A MAHONING AVE
City: Warren
State: Ohio
ZIP Code: 44483
Phone: (330) 847-0919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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