Healthcare Provider Details

I. General information

NPI: 1316966849
Provider Name (Legal Business Name): WILLIAM JAMES HOWARD III OTR/L, CHT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 JARRETT WHITE RD TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
TAMC HI
96859-5001
US

IV. Provider business mailing address

2412 CUMING ST STE 200
OMAHA NE
68131-1600
US

V. Phone/Fax

Practice location:
  • Phone: 808-433-2460
  • Fax: 808-433-1558
Mailing address:
  • Phone: 402-717-3751
  • Fax: 402-717-3795

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number108951
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number108951
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: