Individual
NICOLE SUMMERS BOOHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 MEDICAL PARKWAY, LAKEWAY, TX 78738-2216
(512) 501-3488
Mailing address
5404 PINCUSHION DAISY DR, AUSTIN, TX 78739-2216
(505) 385-5481
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
—
—
Other
Enumeration date
01/19/2015
Last updated
10/16/2020
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