Healthcare Provider Details

I. General information

NPI: 1285615625
Provider Name (Legal Business Name): DEBORAH M HOWARD OT
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/11/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 BROADWAY STE 440
SEATTLE WA
98122
US

IV. Provider business mailing address

600 BROADWAY STE 440
SEATTLE WA
98122
US

V. Phone/Fax

Practice location:
  • Phone: 206-292-6252
  • Fax: 206-292-7893
Mailing address:
  • Phone: 206-292-6252
  • Fax: 206-292-7893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License NumberOT00002122
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: