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Individual

MATTHEW W HORNE

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PT CSCS

Contact information

Practice address
175 WILSON RD, SUITE 101, MIDDLEBURY, VT 05753
(802) 388-3533
(802) 388-2334
Mailing address
PO BOX 764, MIDDLEBURY, VT 05753
(802) 388-3533
(802) 388-2334

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0400003423
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
363321
MVP GRP #
VT
01
58232
BCBSHIELD GRP #
VT
Enumeration date
05/05/2006
Last updated
07/08/2007
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