Healthcare Provider Details

I. General information

NPI: 1306256441
Provider Name (Legal Business Name): KRISTIN SUZANNE HOWER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2014
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5980 RADIO STATION RD
LA PLATA MD
20646-3337
US

IV. Provider business mailing address

5980 RADIO STATION RD
LA PLATA MD
20646-3337
US

V. Phone/Fax

Practice location:
  • Phone: 301-392-5531
  • Fax:
Mailing address:
  • Phone: 301-392-5531
  • Fax: 301-290-1313

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number03556
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License Number03556
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: