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1144426032
AMY M BOOTH
DOUGLAS, GA
NPI
1144426032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA000825)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
Mrs. AMY M BOOTH PTA
100 DOCTORS DR SUITE 105
DOUGLAS, GA 31533-2210
Phone number: 912-383-5645
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Mailing Address
Mrs. AMY M BOOTH PTA
1420 BAY TREE RD
NASHVILLE, GA 31639-9149
Phone number: 229-686-9470
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