Kim Booker, COTA/L

NPI 1356641567 · on the registry since 2010 · sole proprietor

Practice

Address: 1306 Pelham Rd
Greenville, SC 29615
Phone: (864) 329-1553
Organisation at this address: Emericare Inc
Aegis Group Practice, Llc
Fsl Greenville Sc Tenant Llc
Pelham Community Healthcare Llc
Gables On Pelham Retirement, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: SC
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-10-22

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 South Carolina