Healthcare Provider Details

I. General information

NPI: 1194293837
Provider Name (Legal Business Name): LAUREN HOWARTH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAUREN ROSENZWEIG

II. Dates (important events)

Enumeration Date: 11/12/2018
Last Update Date: 05/19/2023
Certification Date: 05/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1043 W MAIN ST
FREEHOLD NJ
07728-2538
US

IV. Provider business mailing address

1043 W MAIN ST
FREEHOLD NJ
07728-2538
US

V. Phone/Fax

Practice location:
  • Phone: 732-800-9000
  • Fax:
Mailing address:
  • Phone: 732-800-9000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number40QA01740800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: