Bradley Booth

NPI #1376278721 in Liberty Center, Ohio

Provider Information

NPI Number: 1376278721
Entity Type: Individual
Name: Bradley Booth
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jul 20, 2022
Last Updated: Jul 20, 2022

Practice Location

Address: V538 COUNTY ROAD 4A
City: Liberty Center
State: Ohio
ZIP Code: 43532-8512
Phone: (419) 966-6384

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician - Attendant Care Provider — Attendant Care Provider	3747A0650X
Driver	172A00000X	Primary

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