Individual
AMY M. HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2131 EAST STATE STREET, ATHENS, OH 45701-1334
(740) 589-3100
(740) 589-3123
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 589-8805
(740) 589-8855
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006271
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204527
OHIO MEDICAID UNISOURCE
OH
01
—
000000217253
ANTHEM BCBS
—
01
—
2229494
MOLINA MEDICAID
OH
05
—
2229494
—
OH
01
—
650019955
RR MEDICARE
—
05
—
7304037000
—
WV
Enumeration date
07/19/2006
Last updated
08/07/2014
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