Provider Demographics
NPI:1851069074
Name:KNECE, ZOEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:ZOEY
Middle Name:
Last Name:KNECE
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 1:14412 STEPHENS RD
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33953-6051
Mailing Address - Country:US
Mailing Address - Phone:740-601-3180
Mailing Address - Fax:
Practice Address - Street 1:22 SARASOTA CENTER BLVD
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-9770
Practice Address - Country:US
Practice Address - Phone:941-377-9361
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22296225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist