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Theodore Howard, PTA
NPI 1609172600 · on the registry since 2011
Practice
- Address
- 3088 Lenox Rd Ne
Atlanta, GA 30324 - Phone
- (404) 816-3991
- Fax
- (404) 816-3998
- Organisation at this address
- Pruittplace - Buckhead, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 8
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-02-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia