Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251P0200X | Physical Therapist - Pediatrics | 007049 | CT |
Y | 2251P0200X | Physical Therapist - Pediatrics | 016655-1 | NY |
NPI | 1093950628 |
---|---|
Provider Name | Ms. Carolyn A Howell |
First Address | Norwalk, CT 06854-1114 |
Second Address | Norwalk, CT 06854-1114 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2008 |
Last Update Date | 11/12/2008 |