Individual
ERIC HOWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 356-9300
Mailing address
5254 N ASHLAND AVE APT 2N, CHICAGO, IL 60640-2589
(773) 895-3742
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.003328
IL
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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