Provider Demographics
NPI:1477989754
Name:HOWARD, ANN BLANTON
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:BLANTON
Last Name:HOWARD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 CENTRAL DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHERN PINES
Mailing Address - State:NC
Mailing Address - Zip Code:28387-2102
Mailing Address - Country:US
Mailing Address - Phone:910-692-3323
Mailing Address - Fax:910-692-1114
Practice Address - Street 1:1280 CENTRAL DR
Practice Address - Street 2:
Practice Address - City:SOUTHERN PINES
Practice Address - State:NC
Practice Address - Zip Code:28387-2102
Practice Address - Country:US
Practice Address - Phone:910-692-3323
Practice Address - Fax:910-692-1114
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist