Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT 41024 | CA |
NPI | 1073938718 |
---|---|
Provider Name | Evan A Howe |
First Address | Solvang, CA 93463-3750 |
Second Address | Solvang, CA 93463-3750 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/03/2014 |
Last Update Date | 05/03/2014 |