Individual
MIRANDA HOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11632
MA
225X00000X
Occupational Therapist
9428182-4201
UT
Other
Enumeration date
07/09/2015
Last updated
07/09/2015
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