Individual
THEODORE JEURDON HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3088 LENOX RD NE, ATLANTA, GA 30324-2894
(404) 816-3991
(404) 816-3998
Mailing address
3088 LENOX RD NE, ATLANTA, GA 30324-2894
(404) 816-3991
(404) 816-3998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002507
GA
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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