Provider Demographics
NPI:1710279898
Name:BREAN, HOWARD TODD (MA)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:TODD
Last Name:BREAN
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5000 RAPID RIVER CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-5501
Mailing Address - Country:US
Mailing Address - Phone:412-638-8065
Mailing Address - Fax:702-684-7046
Practice Address - Street 1:3047 E WARM SPRINGS RD
Practice Address - Street 2:BUILDING # 2, SUITE 400
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89120-3760
Practice Address - Country:US
Practice Address - Phone:412-638-8065
Practice Address - Fax:702-684-7046
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-09
Last Update Date:2011-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner