Healthcare Provider Details

I. General information

NPI: 1922118868
Provider Name (Legal Business Name): VALERIE HOWARD P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE LAW PT

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 08/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5961 EXCHANGE DR STE 100
ELDERSBURG MD
21784
US

IV. Provider business mailing address

3204 BRIGHTON COURT
WOODBINE MD
21797-7939
US

V. Phone/Fax

Practice location:
  • Phone: 410-644-1880
  • Fax: 443-300-3160
Mailing address:
  • Phone: 443-812-1480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number21178
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number21178
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: