Provider Demographics
NPI:1205082534
Name:HOWE, DENNIS R (PT)
Entity type:Individual
Prefix:
First Name:DENNIS
Middle Name:R
Last Name:HOWE
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2908 NE 49TH ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-2139
Mailing Address - Country:US
Mailing Address - Phone:360-696-4872
Mailing Address - Fax:
Practice Address - Street 1:2908 NE 49TH ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2139
Practice Address - Country:US
Practice Address - Phone:360-696-4872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-18
Last Update Date:2009-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4171225100000X
WA10066225100000X
HI2949225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist