Provider Demographics
NPI:1417102435
Name:MATTHEWS, LINDA (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8111 SW 82ND PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-6641
Mailing Address - Country:US
Mailing Address - Phone:646-319-4242
Mailing Address - Fax:
Practice Address - Street 1:275 NE 18TH ST
Practice Address - Street 2:403
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33132-1117
Practice Address - Country:US
Practice Address - Phone:646-319-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-18
Last Update Date:2016-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009777225XP0200X
FL14620225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics