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NPI Code Detail

MEDICARE: JANINE HONATH OTRL, CHT

MEDICARE:   JANINE  HONATH  OTRL, CHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XH1200XHand Occupational TherapistOT6210CA

General Provider Information

NPI Number : 1164487575
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANINE HONATH OTRL, CHT
Provider Business Mailing Address
First Line : 10790 RANCHO BERNARDO RD
Second Line : STE C
City : SAN DIEGO
State : CA
Zip : 92127-5705
Country : US
Telephone Number : 858-927-5775
Fax Number :
Provider Business Practice Location Address
First Line : 15004 INNOVATION DR
Second Line : STE 120
City : SAN DIEGO
State : CA
Zip : 92128-3491
Country : US
Telephone Number : 858-605-7313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2006
Last Update Date : 05/09/2016

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Directions to “ JANINE HONATH OTRL, CHT” Practice Location

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