Provider Demographics
NPI:1487843504
Name:ZERO, MARSHA SHAWN (OTR/L,CHT)
Entity Type:Individual
Prefix:MRS
First Name:MARSHA
Middle Name:SHAWN
Last Name:ZERO
Suffix:
Gender:F
Credentials:OTR/L,CHT
Other - Prefix:MRS
Other - First Name:MARSHA
Other - Middle Name:SHAWN
Other - Last Name:HICKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L,CHT
Mailing Address - Street 1:13020 N TELECOM PKWY
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33637-0925
Mailing Address - Country:US
Mailing Address - Phone:813-978-9700
Mailing Address - Fax:813-558-6494
Practice Address - Street 1:2414 ENTERPRISE RD
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33763-1751
Practice Address - Country:US
Practice Address - Phone:727-461-6026
Practice Address - Fax:727-796-4345
Is Sole Proprietor?:No
Enumeration Date:2007-10-16
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10972225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
UPIN:VADOOOMedicare UPIN