Provider First Line Business Practice Location Address:
806 N MAIN ST
Provider Second Line Business Practice Location Address:
BOOTHBY THERAPY SERVICES
Provider Business Practice Location Address City Name:
LACONIA
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03246-2603
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-524-4385
Provider Business Practice Location Address Fax Number:
603-524-1497
Provider Enumeration Date:
11/20/2008