Individual
DALLAS JOHN HORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1702 E MAIN ST STE 103, MANDAN, ND 58554-3818
(701) 415-0000
(833) 969-0195
Mailing address
1702 E MAIN ST STE 103, MANDAN, ND 58554-3818
(701) 415-0000
(833) 969-0195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2459
ND
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
10/09/2018
Last updated
06/20/2022
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