JACOB BOOTH

MANCHESTER, NH
NPI1326584871
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: CA  16303)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: WI  5698-26)
Enumeration Date2017-01-09
Last Update Date2017-01-09
Business Address
-- JACOB BOOTH
3000 GOFFS FALLS RD SUITE 101
MANCHESTER, NH 03111-1000
Phone number: 800-995-2673
Mailing Address
-- JACOB BOOTH
3000 GOFFS FALLS RD SUITE 101
MANCHESTER, NH 03111-1000
Phone number: 800-995-2673