Provider Demographics
NPI:1073920062
Name:HOWLAND, SUZETTE ANN
Entity Type:Individual
Prefix:
First Name:SUZETTE
Middle Name:ANN
Last Name:HOWLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SUZETTE
Other - Middle Name:ANN
Other - Last Name:HOWLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BS, MT
Mailing Address - Street 1:640 UTLEY RD
Mailing Address - Street 2:
Mailing Address - City:NEW BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:01531-1728
Mailing Address - Country:US
Mailing Address - Phone:508-867-4563
Mailing Address - Fax:
Practice Address - Street 1:206 SOUTHBRIDGE ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-2504
Practice Address - Country:US
Practice Address - Phone:774-200-3232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-22
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA440225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist