Individual
JIMMY HOWARD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2585 MIRACLE MILE STE 107, BULLHEAD CITY, AZ 86442-7553
(928) 444-8168
(928) 444-8169
Mailing address
2585 MIRACLE MILE STE 107, BULLHEAD CITY, AZ 86442-7553
(928) 444-8168
(928) 444-8169
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9910A
AZ
Other
Enumeration date
08/09/2012
Last updated
08/09/2012
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