Individual
JACK ALEXANDER VAN HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
935 N CASSADY AVE, COLUMBUS, OH 43219-2283
(614) 252-4987
Mailing address
2217 WESTMINSTER DR, SIDNEY, OH 45365-1981
(937) 726-3430
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT018326
OH
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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