Individual
NATALIE JEANNE HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2355 NORTHSIDE DR, SUITE 140, SAN DIEGO, CA 92108-2705
(800) 458-7777
(800) 863-2978
Mailing address
7210 KIMBLE DR, INDIANAPOLIS, IN 46217-7151
(317) 373-8066
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
06003122A
IN
Other
Enumeration date
09/26/2011
Last updated
09/26/2011
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