MEDICARE: DR. PAUL D. HOWARD PT, PHD, OCS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist	40QA00300500	NJ

General Provider Information

NPI Number	:	1477600880
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL D. HOWARD PT, PHD, OCS

Provider Business Mailing Address
First Line	:	205 RHOADS AVE
Second Line	:
City	:	HADDONFIELD
State	:	NJ
Zip	:	08033-1416
Country	:	US
Telephone Number	:	856-427-9565
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 GROVE ST
Second Line	:	SUITE A
City	:	HADDONFIELD
State	:	NJ
Zip	:	08033-1224
Country	:	US
Telephone Number	:	856-427-9976
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	07/08/2007

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