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Individual

MICHAEL J HORSFIELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
3385 DEXTER CT STE 203, DAVENPORT, IA 52807-3471
(563) 332-9312
(563) 332-9316
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
(309) 743-2073

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
02059
IA
225100000X
Physical Therapist
070-008026
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02059
IOWA PT LICENSE NUMBER
IA
01
070-008026
ILLINOIS PT LICENSE NO.
IL
Enumeration date
05/12/2006
Last updated
04/11/2012
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