Basic Information
| Provider Information | |||||||||
| NPI: | 1639176423 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HOWE | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1579 STRAITS TPKE | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067621835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035772002 | ||||||||
| FaxNumber: | 2035772060 | ||||||||
| Practice Location | |||||||||
| Address1: | 1579 STRAITS TPKE | ||||||||
| Address2: | |||||||||
| City: | MIDDLEBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 067621835 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2035772002 | ||||||||
| FaxNumber: | 2035772060 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/07/2005 | ||||||||
| LastUpdateDate: | 11/03/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 004652 | CT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | 004164878 | 05 | CT | MEDICAID | 080004652CT12 | 01 | CT | ANTHEM BLUE CROSS SHIELD | OTHER |