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NPI 1154096741

NPI 1154096741 : MELISSA HOWARD PT, DTP : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1154096741
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    Entity Type          |    Individual 
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    Provider Name        |    MELISSA HOWARD PT, DTP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/16/2021
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    Last Update Date     |    09/13/2023
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Provider Practice Location Address
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    Address Line         |    1418 HEIGHTS BLVD 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77008-4249
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    Country              |    US
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    Telephone            |    713-553-7322
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3431 BROADMEAD DR 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77025-3702
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    Country              |    US
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    Telephone            |    806-252-4553
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1206916
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    1206916
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    2251P0200X
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    Taxonomy Name        |    Pediatric Physical Therapist
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    License Number       |    1206916
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    License Number State |    TX
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