Provider Demographics
NPI:1447034715
Name:HOWE, JESSICA ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:HOWE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:JESSICA
Other - Middle Name:ANN
Other - Last Name:DAVENPORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4470 OAKGUARD DR
Mailing Address - Street 2:
Mailing Address - City:WHITE LAKE
Mailing Address - State:MI
Mailing Address - Zip Code:48383-1580
Mailing Address - Country:US
Mailing Address - Phone:734-674-0168
Mailing Address - Fax:
Practice Address - Street 1:4470 OAKGUARD DR
Practice Address - Street 2:
Practice Address - City:WHITE LAKE
Practice Address - State:MI
Practice Address - Zip Code:48383-1580
Practice Address - Country:US
Practice Address - Phone:734-674-0168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist