Individual
MRS. ELAINE MARGARET HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0532
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100408
—
SD
01
—
4994602
BCBS
—
01
—
PT0532
DAKOTACARE
—
Enumeration date
11/29/2006
Last updated
12/05/2007
Update your record
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