Provider Demographics
NPI:1083392013
Name:HOWE, JENNIFER (OTR/L, CLT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:HOWE
Suffix:
Gender:F
Credentials:OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7955 SCARBOROUGH HALL DR
Mailing Address - Street 2:
Mailing Address - City:NEW ALBANY
Mailing Address - State:OH
Mailing Address - Zip Code:43054-1103
Mailing Address - Country:US
Mailing Address - Phone:614-395-1458
Mailing Address - Fax:
Practice Address - Street 1:7955 SCARBOROUGH HALL DR
Practice Address - Street 2:
Practice Address - City:NEW ALBANY
Practice Address - State:OH
Practice Address - Zip Code:43054-1103
Practice Address - Country:US
Practice Address - Phone:614-395-1458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03722225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist