Individual provider · Type 1 NPI

Andria Lynn Booth, COTA/L

Occupational Therapy Assistant · Rockford, IL

NPI number 1093943326 Active

Practice location

310 N 1st St
Rockford, IL 61107-3902

Call (815) 904-2051 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X057.002044 (IL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1093943326

Andria Lynn Booth, COTA/L's National Provider Identifier is 1093943326, issued on Jun 25, 2009. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Rockford, IL. The record was last updated on Jun 25, 2009.