Individual
THERESE VAN HORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 WALKER RD, MOUNT PLEASANT, NC 28124-9596
(704) 214-1622
Mailing address
8119 NEW ST, MOUNT PLEASANT, NC 28124-8591
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2371
NC
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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