Provider Demographics
NPI:1235642802
Name:HOWE, AILEEN DISNEY (OTR/L)
Entity Type:Individual
Prefix:
First Name:AILEEN
Middle Name:DISNEY
Last Name:HOWE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:AILEEN
Other - Middle Name:DISNEY
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:504 FALLINGREEN WAY
Mailing Address - Street 2:
Mailing Address - City:FRIDAY HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98250
Mailing Address - Country:US
Mailing Address - Phone:360-622-8866
Mailing Address - Fax:
Practice Address - Street 1:504 FALLINGREEN WAY
Practice Address - Street 2:
Practice Address - City:FRIDAY HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98250
Practice Address - Country:US
Practice Address - Phone:360-622-8866
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-06
Last Update Date:2018-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOT60625024225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist