| NPI | 1104232461 |
|---|---|
| Former Name | AMY HOWARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT60900602) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: CO 0012726) |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2020-03-10 |