Individual
JEREMY HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 593-4462
Mailing address
129 MITYLENE PARK LN, MONTGOMERY, AL 36117-7302
(334) 593-4462
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH10203
AL
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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