Bradley Booth
Bradley Booth is an Attendant Care Provider in Liberty Center, Ohio. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
V538 County Road 4ALiberty Center, OH 43532-8512
Phone: (419) 966-6384
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|---|
| Attendant Care Provider | Taxonomy 3747A0650X |
Record details
| NPI number | 1376278721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 20, 2022 |
| Last updated in NPPES | July 20, 2022 |
| Certification date | July 20, 2022 |
| Mailing address | V538 County Road 4a, Liberty Center, OH 43532-8512 |