Individual
JAMIE ANN COBURN VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1550 OLD HENDERSON RD STE S-204, COLUMBUS, OH 43220-3626
(614) 824-2633
(614) 467-3841
Mailing address
1550 OLD HENDERSON RD STE S-204, COLUMBUS, OH 43220-3626
(614) 824-2633
(614) 726-2399
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT-003999
OH
225X00000X
Occupational Therapist
OT03999
OH
225X00000X
Occupational Therapist
OTR1641
KY
Other
Enumeration date
11/01/2006
Last updated
12/28/2020
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