MRS. Andria Lynn Booth, COTA/L

NPI #1093943326 in Rockford, Illinois

Provider Information

NPI Number
1093943326
Entity Type
Individual
Name
MRS. Andria Lynn Booth, COTA/L
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA/L
Enumeration Date
Jun 25, 2009
Last Updated
Jun 25, 2009

Practice Location

Address
310 N 1ST ST
ZIP Code
61107-3902
Phone
(815) 904-2051

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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