Brandi Boothe

NPI #1265979231 in Leesburg, Florida

Provider Information

NPI Number: 1265979231
Entity Type: Individual
Name: Brandi Boothe
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Jan 27, 2017
Last Updated: Aug 1, 2018

Practice Location

Address: 600 W NORTH BLVD STE D
City: Leesburg
State: Florida
ZIP Code: 34748
Phone: (352) 728-6636

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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