Provider Demographics
NPI:1164132270
Name:HOOPER, JANET E (OT)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:HOOPER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:E
Other - Last Name:WEIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:777 S FEDERAL HWY APT G305
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33062-5956
Mailing Address - Country:US
Mailing Address - Phone:954-234-8721
Mailing Address - Fax:
Practice Address - Street 1:777 S FEDERAL HWY APT G305
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33062-5956
Practice Address - Country:US
Practice Address - Phone:954-234-8721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-29
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5794225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist