Basic Information
Provider Information
NPI: 1285712984
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HOWSON
FirstName: JILL
MiddleName: M
NamePrefix:  
NameSuffix:  
Credential: P.T.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1115 BOULDERS PKWY
Address2: STE 200
City: NORTH CHESTERFIELD
State: VA
PostalCode: 232254067
CountryCode: US
TelephoneNumber: 8045605595
FaxNumber: 8045609029
Practice Location
Address1: 13801 ST FRANCIS BLVD
Address2: STE 200
City: MIDLOTHIAN
State: VA
PostalCode: 231143206
CountryCode: US
TelephoneNumber: 8042701305
FaxNumber: 8042739294
Other Information
ProviderEnumerationDate: 11/01/2006
LastUpdateDate: 09/02/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/02/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT00007822WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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