Provider Demographics
NPI:1093053068
Name:HOWARD, EUGENE F III (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:F
Last Name:HOWARD
Suffix:III
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 E ERIE AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19124-5423
Mailing Address - Country:US
Mailing Address - Phone:215-743-3699
Mailing Address - Fax:
Practice Address - Street 1:1107 E ERIE AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-5423
Practice Address - Country:US
Practice Address - Phone:215-743-3699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022393225100000X
CAPT39287225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist