Individual
GALE EDWARD HORN III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
3475 SOUTHRIDGE PL APT 9, TAHLEQUAH, OK 74464-7913
(918) 316-5429
Mailing address
3475 SOUTHRIDGE PL APT 9, TAHLEQUAH, OK 74464-7913
(918) 316-5429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2361
OK
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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