Provider Demographics
NPI:1104149582
Name:HOWARD, HEATHER (MPT)
Entity type:Individual
Prefix:MRS
First Name:HEATHER
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1476 LONG GROVE DR
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-7571
Mailing Address - Country:US
Mailing Address - Phone:843-216-3534
Mailing Address - Fax:843-216-3576
Practice Address - Street 1:1476 LONG GROVE DR
Practice Address - Street 2:SUITE 1
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-7571
Practice Address - Country:US
Practice Address - Phone:843-216-3534
Practice Address - Fax:843-216-3576
Is Sole Proprietor?:No
Enumeration Date:2010-03-12
Last Update Date:2010-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist