Provider Demographics
NPI:1518441286
Name:HONEGAN, ALANI (OT ASSISTANT (COTA))
Entity Type:Individual
Prefix:
First Name:ALANI
Middle Name:
Last Name:HONEGAN
Suffix:
Gender:F
Credentials:OT ASSISTANT (COTA)
Other - Prefix:
Other - First Name:ALANI
Other - Middle Name:
Other - Last Name:STRACHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT ASSISTANT (COTA)
Mailing Address - Street 1:640 CLEMATIS ST UNIT 2774
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33402-5115
Mailing Address - Country:US
Mailing Address - Phone:561-246-7476
Mailing Address - Fax:
Practice Address - Street 1:640 CLEMATIS ST UNIT 2774
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33402-5115
Practice Address - Country:US
Practice Address - Phone:561-246-7476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-19
Last Update Date:2018-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16819224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant