Basic Information
| Provider Information | |||||||||
| NPI: | 1871091710 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | COOPER | ||||||||
| FirstName: | ZARI | ||||||||
| MiddleName: | LINDEN | ||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MOT, OTR/L, CLT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4842 SW ARCHER RD | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326083813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523768821 | ||||||||
| FaxNumber: | 3525598939 | ||||||||
| Practice Location | |||||||||
| Address1: | 4842 SW ARCHER RD | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326083813 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3523768821 | ||||||||
| FaxNumber: | 3515598939 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/25/2018 | ||||||||
| LastUpdateDate: | 01/07/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 01/07/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT18947 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.