Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT6210 | CA |
NPI | 1164487575 |
---|---|
Provider Name | Janine Honath |
First Address | San Diego, CA 92127-5705 |
Second Address | San Diego, CA 92128-3491 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 09/05/2016 |