Individual
MRS. JENNIFER COYLE HOWERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9101 MIDLOTHIAN TPKE STE 200, RICHMOND, VA 23235-5022
(804) 272-9192
(804) 272-9257
Mailing address
2249 RIDGEFIELD GREEN WAY, RICHMOND, VA 23233-5826
(804) 347-7974
(804) 272-9257
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305203290
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
285094
MAMSI
VA
01
—
460621
BLUE CROSS/BLUE SHIELD
VA
01
—
P00157754
RAILROAD MEDICARE
VA
Enumeration date
07/05/2006
Last updated
07/08/2007
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