Provider Demographics
NPI:1336370063
Name:HOWARD, JOAN E (LMT)
Entity type:Individual
Prefix:MS
First Name:JOAN
Middle Name:E
Last Name:HOWARD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:37 FOREST HILLS ST
Mailing Address - Street 2:#2
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2932
Mailing Address - Country:US
Mailing Address - Phone:617-610-1245
Mailing Address - Fax:
Practice Address - Street 1:697 WASHINGTON ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1388
Practice Address - Country:US
Practice Address - Phone:617-610-1245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA005225700000X
FLMA47545225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist