Individual
SARAH AUDREY HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 GENESIS WAY, SEVERNA PARK, MD 21146-1761
(410) 544-4220
Mailing address
554 UPTON RD, SEVERN, MD 21144-2327
(443) 214-6782
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4753
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
XIK900263478
CARE FIRST BLUE CHOICE
MD
Enumeration date
07/23/2017
Last updated
07/23/2017
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