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MRS. ANDRIA LYNN BOOTH, COTA/L

Active

MRS. ANDRIA LYNN BOOTH, COTA/L is a Occupational Therapy Assistant healthcare provider located in ROCKFORD, Illinois. NPI 1093943326 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · ROCKFORD, IL

Registration Details

NPI Number
1093943326
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2009 (16.95399060612 yrs)
Last Updated
Jun 25, 2009
License
057.002044 (IL)

Practice Information

Address
310 N 1ST ST
ROCKFORD, IL, 611073902
Browse IL providers · Browse ZIP 61107
Phone
8159042051
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in ROCKFORD, IL

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.