Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 070011550 | IL |
NPI | 1033450580 |
---|---|
Provider Name | Sarah Howells |
First Address | Chicago, IL 60640-2011 |
Second Address | Chicago, IL 60612-3714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2013 |
Last Update Date | 08/03/2013 |