Individual
MRS. MARLO RENEE HORNSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTRL
Contact information
Practice address
75 SUNDANCE LN, MOUNT NEBO, WV 26679-9138
(304) 872-5508
Mailing address
75 SUNDANCE LN, MOUNT NEBO, WV 26679-9138
(304) 872-5508
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WV1356
WV
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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