Provider Demographics
NPI:1922048164
Name:LEVINE, HOWARD (PT, COMT, FAAOMPT)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:
Last Name:LEVINE
Suffix:
Gender:M
Credentials:PT, COMT, FAAOMPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5807 1ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2703
Mailing Address - Country:US
Mailing Address - Phone:206-853-2325
Mailing Address - Fax:206-322-4461
Practice Address - Street 1:5807 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2703
Practice Address - Country:US
Practice Address - Phone:206-853-2325
Practice Address - Fax:206-322-4461
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-07
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00006490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist