Individual
TRISTAN HORNBACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
5320 PETERS CREEK RD STE C, ROANOKE, VA 24019-3852
(540) 366-2243
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119010332
VA
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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