Provider Demographics
NPI:1326322025
Name:HONORAT, FLORRISE TELCINA (OTR/L)
Entity Type:Individual
Prefix:
First Name:FLORRISE
Middle Name:TELCINA
Last Name:HONORAT
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 1:6261 NW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33313-6129
Mailing Address - Country:US
Mailing Address - Phone:954-655-1136
Mailing Address - Fax:
Practice Address - Street 1:6261 NW 14TH ST
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33313-6129
Practice Address - Country:US
Practice Address - Phone:954-655-1136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-29
Last Update Date:2017-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT18435225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist