Provider Demographics
NPI:1396979878
Name:HOWELL, ANGELA MARIE (OTR)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:HOWELL
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 FLORIDA MEADOWS CT
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81303-6772
Mailing Address - Country:US
Mailing Address - Phone:303-842-3850
Mailing Address - Fax:
Practice Address - Street 1:450 S CAMINO DEL RIO STE 102
Practice Address - Street 2:
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-6856
Practice Address - Country:US
Practice Address - Phone:303-842-3850
Practice Address - Fax:970-459-3143
Is Sole Proprietor?:No
Enumeration Date:2009-05-12
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0002225225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000184856Medicaid