Provider Demographics
NPI:1962984963
Name:HONEA, MEREDITH (COTA)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:HONEA
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 BROTHERS BLVD APT 8106
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75154-6117
Mailing Address - Country:US
Mailing Address - Phone:214-208-5979
Mailing Address - Fax:
Practice Address - Street 1:169 LAKE PARK RD
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75057-2303
Practice Address - Country:US
Practice Address - Phone:972-436-7571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX215224224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant