Individual
NATHAN HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
829 FAIRMONT RD STE 104, WESTOVER, WV 26501-3892
(304) 305-1506
Mailing address
829 FAIRMONT RD STE 104, WESTOVER, WV 26501-3892
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA002743
WV
225200000X
Physical Therapy Assistant
TEI005037
PA
Other
Enumeration date
10/04/2022
Last updated
10/04/2022
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