Provider Demographics
NPI:1437313632
Name:DRIVER, CATHLEEN AMELIA (OT)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:AMELIA
Last Name:DRIVER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3939 PIN OAKS ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-1243
Mailing Address - Country:US
Mailing Address - Phone:443-655-5660
Mailing Address - Fax:
Practice Address - Street 1:3939 PIN OAKS ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-1243
Practice Address - Country:US
Practice Address - Phone:443-655-5660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-16
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL14078225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist