Provider Demographics
NPI:1851677686
Name:IBIA, HONEYLET ALONTE (PT)
Entity type:Individual
Prefix:
First Name:HONEYLET
Middle Name:ALONTE
Last Name:IBIA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HONEYLET
Other - Middle Name:CAYMO
Other - Last Name:ALONTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 BABCOCK AVE
Mailing Address - Street 2:GENESIS - VILLA MARIA
Mailing Address - City:PLAINFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06374-1226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:20 BABCOCK AVE
Practice Address - Street 2:GENESIS - VILLA MARIA
Practice Address - City:PLAINFIELD
Practice Address - State:CT
Practice Address - Zip Code:06374-1226
Practice Address - Country:US
Practice Address - Phone:860-230-0836
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-25
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9102225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist