Individual
MRS. MARY ELIZABETH HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1015 12TH AVE S, NAMPA, ID 83651-4660
(208) 467-4357
(208) 467-4395
Mailing address
1015 12TH AVE S, NAMPA, ID 83651-4660
(208) 467-4357
(208) 467-4395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4709
ID
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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