Provider Demographics
NPI:1750485934
Name:HONEYWELL, SABRINA RUTH (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SABRINA
Middle Name:RUTH
Last Name:HONEYWELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:RUTH
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3708 NORTHSIDE DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-2404
Mailing Address - Country:US
Mailing Address - Phone:478-745-4206
Mailing Address - Fax:478-254-5463
Practice Address - Street 1:301 MARGIE DR
Practice Address - Street 2:
Practice Address - City:WARNER ROBINS
Practice Address - State:GA
Practice Address - Zip Code:31088-7818
Practice Address - Country:US
Practice Address - Phone:478-971-1153
Practice Address - Fax:478-971-1171
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT1139225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA116544Medicare ID - Type UnspecifiedDUBLIN
GA116538Medicare ID - Type UnspecifiedSWAINSBORO