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Individual

PROF. BRIAN VINCENT HORTZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD, ATC

Contact information

Practice address
200 LIVINGSTON DR., GRANVILLE, OH 43023
(740) 587-6577
(740) 587-5742
Mailing address
924 LOCKMEAD CT, PATASKALA, OH 43062-7364
(614) 866-1740

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-000967
OH

Other

Enumeration date
01/25/2007
Last updated
07/08/2007
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