Individual
MRS. TANYA GOFF HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
240 RAVENSAIDE DR, HOUMA, LA 70360-8368
(985) 713-9040
Mailing address
240 RAVENSAIDE DR, HOUMA, LA 70360-8368
(985) 713-9040
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OTT.Z11421
LA
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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