Provider Demographics
NPI:1003166554
Name:HOWARD, KATHLEEN MARY (PT)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:MARY
Last Name:HOWARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4845 TRANSIT RD
Mailing Address - Street 2:SUITE C-1
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-4783
Mailing Address - Country:US
Mailing Address - Phone:716-656-1880
Mailing Address - Fax:716-668-9426
Practice Address - Street 1:4845 TRANSIT RD
Practice Address - Street 2:SUITE C-1
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4783
Practice Address - Country:US
Practice Address - Phone:716-656-1880
Practice Address - Fax:716-668-9426
Is Sole Proprietor?:No
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY024718225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist