SearchIllinoisOccupational Therapy Assistant

Andria Booth, COTA/L

NPI 1093943326 · on the registry since 2009

Practice

Address
310 N 1st St
Rockford, IL 61107
Phone
(815) 904-2051

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2009-06-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois