Provider Demographics
NPI:1023371093
Name:HONDA, ATTRIA BATOON
Entity Type:Individual
Prefix:MS
First Name:ATTRIA
Middle Name:BATOON
Last Name:HONDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ATTRIA
Other - Middle Name:MAYO
Other - Last Name:BATOON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2539 W PEROLA DR
Mailing Address - Street 2:
Mailing Address - City:PHOENIXAZ
Mailing Address - State:AZ
Mailing Address - Zip Code:85085
Mailing Address - Country:US
Mailing Address - Phone:732-789-0860
Mailing Address - Fax:
Practice Address - Street 1:12000 N 90TH T.
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260
Practice Address - Country:US
Practice Address - Phone:480-451-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-24
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00587800225X00000X
AZOTH-007879225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist