Provider Demographics
NPI:1649479841
Name:HOWELL, JUSTINA DEJANG (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:JUSTINA
Middle Name:DEJANG
Last Name:HOWELL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:JUSTINA
Other - Middle Name:DEJANG
Other - Last Name:COLTEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1085 VAN VOORHIS RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26505-3497
Mailing Address - Country:US
Mailing Address - Phone:304-599-9250
Mailing Address - Fax:304-599-9254
Practice Address - Street 1:1085 VAN VOORHIS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26505-3497
Practice Address - Country:US
Practice Address - Phone:304-599-9250
Practice Address - Fax:304-599-9254
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVOTR/L1325225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist