Individual
ERICA D BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
406 S MAIN ST, WINNSBORO, TX 75494-3226
(903) 342-6790
Mailing address
4505 OAKWOOD DR, MARSHALL, TX 75672-5811
(903) 754-4723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215913
TX
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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