Basic Information
| Provider Information | |||||||||
| NPI: | 1811236482 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HONDRADE | ||||||||
| FirstName: | MA ASUNCION | ||||||||
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| Credential: | OTL/R | ||||||||
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| Mailing Information | |||||||||
| Address1: | 12050 PARK BLVD APT 142 | ||||||||
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| City: | SEMINOLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337724576 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6094640070 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10707 66TH ST N STE 14 | ||||||||
| Address2: | |||||||||
| City: | PINELLAS PARK | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337822336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7275478600 | ||||||||
| FaxNumber: | 7275486131 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/02/2013 | ||||||||
| LastUpdateDate: | 03/07/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | OT 15231 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.