Provider Demographics
NPI:1134887854
Name:HOWLAND PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:HOWLAND PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-647-7373
Mailing Address - Street 1:525 NILES CORTLAND RD SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-2434
Mailing Address - Country:US
Mailing Address - Phone:234-430-0302
Mailing Address - Fax:
Practice Address - Street 1:525 NILES CORTLAND RD SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-2434
Practice Address - Country:US
Practice Address - Phone:234-430-0302
Practice Address - Fax:234-223-2988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH4775656OtherBUSINESS LICENSE