Individual
KRISTIN NICOLE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
549 BALTIMORE PIKE, GLEN MILLS, PA 19342-1020
(610) 558-7417
Mailing address
2412 FAULKLAND RD, WILMINGTON, DE 19808-2504
(302) 824-2002
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008883
PA
Other
Enumeration date
05/07/2018
Last updated
05/07/2018
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