ANDRIA LYNN BOOTH

ROCKFORD, IL
NPI1093943326
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IL  057.002044)
Enumeration Date2009-06-25
Last Update Date2009-06-25
Business Address
Mrs. ANDRIA LYNN BOOTH COTA/L
310 N 1ST ST
ROCKFORD, IL 61107-3902
Phone number: 815-904-2051
Mailing Address
Mrs. ANDRIA LYNN BOOTH COTA/L
310 N 1ST ST
ROCKFORD, IL 61107-3902
Phone number: 815-904-2051
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