Provider Demographics
NPI:1598230955
Name:HOWES, BURGUNDY (DPT)
Entity type:Individual
Prefix:
First Name:BURGUNDY
Middle Name:
Last Name:HOWES
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:BURGUNDY
Other - Middle Name:
Other - Last Name:CRIBBS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 334
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:OK
Mailing Address - Zip Code:73601-0334
Mailing Address - Country:US
Mailing Address - Phone:580-323-1682
Mailing Address - Fax:580-323-1711
Practice Address - Street 1:1725 S HIGHWAY 183 STE 100
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:OK
Practice Address - Zip Code:73601-9531
Practice Address - Country:US
Practice Address - Phone:580-323-1682
Practice Address - Fax:580-323-1711
Is Sole Proprietor?:No
Enumeration Date:2018-10-11
Last Update Date:2019-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist