Individual
JASMINE BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6850 RUFE SNOW DR, NORTH RICHLAND HILLS, TX 76148-2355
(817) 514-4940
Mailing address
1222 MALLARD CRK, AUBREY, TX 76227-7509
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214106
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214106
OCCUPATIONAL THERAPY
TX
Enumeration date
10/23/2019
Last updated
10/23/2019
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