Organization
HORTON PEDIATRIC THERAPY SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RONDA LYNN HORTON MOT, OTR/L (FOUNDER/OWNER)
(928) 699-1695
Entity
Organization
Contact information
Practice address
486 E TWELVE OAKS DR, FLAGSTAFF, AZ 86001-7062
(928) 699-1695
Mailing address
486 E TWELVE OAKS DR, FLAGSTAFF, AZ 86001-7062
(928) 699-1695
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
1811
AZ
Other
Enumeration date
07/29/2010
Last updated
07/29/2010
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