Individual ProviderChristina A BootheOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address4208 Retama Cir, Victoria, TX 77901-2765(361) 582-0602(361) 578-5606PECOS EnrollmentBased on the most recent information from CMS, provider Christina A Boothe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1700052859Provider TypeIndividualFull NameBoothe, Christina ACredentialOTRGenderFemaleSole ProprietorNoEnumeration Date5/7/2008Last Updated8/29/2011Contact InformationPractice LocationPractice Address4208 Retama Cir, Victoria, TX 77901-2765Phone(361) 582-0602FaxUnlisted FaxMailing LocationMailing Address206 Green Gable Dr, Victoria, TX 77904-1126Phone(361) 578-5606FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense106511Texas