Provider Demographics
NPI:1063840049
Name:HOWARD-LINEHAN, KRISTEN DONA
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:DONA
Last Name:HOWARD-LINEHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ADAMS ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1923
Mailing Address - Country:US
Mailing Address - Phone:978-390-5436
Mailing Address - Fax:
Practice Address - Street 1:19 ADAMS ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1923
Practice Address - Country:US
Practice Address - Phone:978-390-5436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-29
Last Update Date:2013-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2039225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant