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1386133205
KRISTIN NICOLE BOOTH
GLEN MILLS, PA
NPI
1386133205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: PA OP008883)
Enumeration Date
2018-05-07
Last Update Date
2018-05-07
Business Address
KRISTIN NICOLE BOOTH COTA/L
549 BALTIMORE PIKE
GLEN MILLS, PA 19342-1020
Phone number: 610-558-7417
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Mailing Address
KRISTIN NICOLE BOOTH COTA/L
2412 FAULKLAND RD
WILMINGTON, DE 19808-2504
Phone number: 302-824-2002
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