Provider Demographics
NPI:1205948403
Name:CARRATALA, ZEYDA (OTR)
Entity type:Individual
Prefix:
First Name:ZEYDA
Middle Name:
Last Name:CARRATALA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SW 42 AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33134-1938
Mailing Address - Country:US
Mailing Address - Phone:305-443-4496
Mailing Address - Fax:
Practice Address - Street 1:401 SW 37TH AVE
Practice Address - Street 2:200
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-2574
Practice Address - Country:US
Practice Address - Phone:305-443-4493
Practice Address - Fax:305-443-4496
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT12209225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist