Individual
KASHKA BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8819 W TELFAIR CIR, WILMINGTON, NC 28412-3539
(910) 620-8146
Mailing address
8819 W TELFAIR CIR, WILMINGTON, NC 28412-3539
(910) 620-8146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7669
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7669
NORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY
NC
Enumeration date
04/10/2012
Last updated
04/10/2012
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