Provider Demographics
NPI:1417242181
Name:HOWARD, JOAN LEE (OTR)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:LEE
Last Name:HOWARD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 NAVARRE
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92612-7700
Mailing Address - Country:US
Mailing Address - Phone:949-466-9076
Mailing Address - Fax:
Practice Address - Street 1:15 NAVARRE
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-7700
Practice Address - Country:US
Practice Address - Phone:949-466-9076
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA4148225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist