Individual
LISA LORIENE HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1201 W 5TH ST, NEWPORT, WA 99156-9183
(509) 447-0656
Mailing address
208 W CIRCLE DR, NEWPORT, WA 99156-9009
(509) 671-3780
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1-61159606
WA
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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