Provider Demographics
NPI:1598912255
Name:HONTZ, DONNA LEA (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:LEA
Last Name:HONTZ
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 1:4920 CONGDON RD
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSON
Mailing Address - State:NY
Mailing Address - Zip Code:14589-9309
Mailing Address - Country:US
Mailing Address - Phone:315-589-9951
Mailing Address - Fax:315-589-9951
Practice Address - Street 1:4920 CONGDON RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSON
Practice Address - State:NY
Practice Address - Zip Code:14589-9309
Practice Address - Country:US
Practice Address - Phone:315-589-9951
Practice Address - Fax:315-589-9951
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY006010-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics