Provider Demographics
NPI:1508346529
Name:HOWELL, COLE CLINTON (DPT)
Entity Type:Individual
Prefix:
First Name:COLE
Middle Name:CLINTON
Last Name:HOWELL
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17724 STRILEY DR
Mailing Address - Street 2:
Mailing Address - City:ASHTON
Mailing Address - State:MD
Mailing Address - Zip Code:20861-9763
Mailing Address - Country:US
Mailing Address - Phone:301-943-2848
Mailing Address - Fax:
Practice Address - Street 1:6010 EXECUTIVE BLVD STE 704
Practice Address - Street 2:
Practice Address - City:NORTH BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20852-3878
Practice Address - Country:US
Practice Address - Phone:301-231-0095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2018-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27086225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist