Provider Demographics
NPI:1376948067
Name:HOPKINS, LYNDA ANNE (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:ANNE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5215 DEER RUN DR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34951-3307
Mailing Address - Country:US
Mailing Address - Phone:772-559-4612
Mailing Address - Fax:
Practice Address - Street 1:5215 DEER RUN DR
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34951-3307
Practice Address - Country:US
Practice Address - Phone:772-559-4612
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-24
Last Update Date:2014-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA4027224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant