Individual
MRS. CYNTHIA HADDAD COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6508 GUNN HIGHWAY, INDEPENDENT LIVING INC, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Mailing address
6508 GUNN HIGHWAY, INDEPENDENT LIVING INC, TAMPA, FL 33625-4022
(813) 963-6923
(813) 264-0768
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
FL11018OT
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11939201
CITRUS HMO
FL
01
—
2072P
BCBS
FL
05
—
889783200
—
FL
01
—
Z072P
BCBS
FL
Enumeration date
01/18/2007
Last updated
05/12/2011
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