Kristen Booth

NPI #1558883330 in Rice Lake, Wisconsin

Provider Information

NPI Number: 1558883330
Entity Type: Individual
Name: Kristen Booth
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jul 12, 2017
Last Updated: Dec 11, 2018

Practice Location

Address: 1016 LAKESHORE DR
City: Rice Lake
State: Wisconsin
ZIP Code: 54868-1225
Phone: (715) 234-9101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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