Basic Information
Provider Information
NPI: 1316966849
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWARD
FirstName: WILLIAM
MiddleName: JAMES
NamePrefix: MR.
NameSuffix: III
Credential: OTR/L, CHT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2412 CUMING ST
Address2: STE 200
City: OMAHA
State: NE
PostalCode: 681311600
CountryCode: US
TelephoneNumber: 4027173751
FaxNumber: 4027173795
Practice Location
Address1: 1 JARRETT WHITE RD
Address2: TRIPLER ARMY MEDICAL CENTER ATTN: MCHK-QS
City: TAMC
State: HI
PostalCode: 968595001
CountryCode: US
TelephoneNumber: 8084332460
FaxNumber: 8084331558
Other Information
ProviderEnumerationDate: 07/18/2006
LastUpdateDate: 02/08/2017
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X108951TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 
225XH1200X108951TXN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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