Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1206916 | TX |
N | 2251N0400X | Physical Therapist - Neurology | 1206916 | TX |
NPI | 1154096741 |
---|---|
Provider Name | Melissa Howard |
First Address | Houston, TX 77025-3702 |
Second Address | Houston, TX 77025-3702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2021 |
Last Update Date | 16/08/2021 |