Provider Demographics
NPI:1689490542
Name:BERKELEY, TSAKAIA (OTR/L)
Entity type:Individual
Prefix:
First Name:TSAKAIA
Middle Name:
Last Name:BERKELEY
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 1:4561 NW 60TH LN
Mailing Address - Street 2:
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33073-1999
Mailing Address - Country:US
Mailing Address - Phone:954-242-8356
Mailing Address - Fax:
Practice Address - Street 1:1920 SABAL PALM DR APT 104
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5956
Practice Address - Country:US
Practice Address - Phone:305-397-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT25719225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist