Healthcare Provider Details

I. General information

NPI: 1588351282
Provider Name (Legal Business Name): HANNAH ROSE ZUCCARI OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2023
Last Update Date: 04/21/2023
Certification Date: 04/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2833 EXECUTIVE PARK DR STE 300
WESTON FL
33331-3646
US

IV. Provider business mailing address

7380 NW 1ST ST APT 103
PLANTATION FL
33317-2223
US

V. Phone/Fax

Practice location:
  • Phone: 954-353-8777
  • Fax:
Mailing address:
  • Phone: 954-605-4589
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number23988
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: