| Eric Stephen Booth, LCMT | |
|
7761 Plantation Rd, Gloucester, VA 23061-3224 | |
| (804) 694-6575 | |
| Not Available |
| Full Name | Eric Stephen Booth |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 7761 Plantation Rd, Gloucester, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083156053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 0019009871 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Eric Stephen Booth, LCMT 7761 Plantation Rd, Gloucester, VA 23061-3224 Ph: (804) 694-6575 | Eric Stephen Booth, LCMT 7761 Plantation Rd, Gloucester, VA 23061-3224 Ph: (804) 694-6575 |
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