Provider Demographics
NPI:1124532536
Name:HOOPINGARNER, FAITH (MOT, OTR/L)
Entity type:Individual
Prefix:
First Name:FAITH
Middle Name:
Last Name:HOOPINGARNER
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:780 S APOLLO BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-1402
Mailing Address - Country:US
Mailing Address - Phone:321-432-2572
Mailing Address - Fax:321-768-2489
Practice Address - Street 1:780 S APOLLO BLVD STE 104
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-1402
Practice Address - Country:US
Practice Address - Phone:321-432-2572
Practice Address - Fax:321-768-2489
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-21
Last Update Date:2017-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT18786225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist