Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 32719 | FL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 9515 | CT |
NPI | 1053668103 |
---|---|
Provider Name | Mrs. Catherine L Howard |
First Address | Port St Lucie, FL 34953-6947 |
Second Address | Jensen Beach, FL 34957-4752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/08/2012 |
Last Update Date | 17/03/2018 |