Individual
TIMOTHY VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
9 POPE ST, NEW BEDFORD, MA 02740
(508) 493-5501
Mailing address
P.O. BOX N 581, WESTPORT, MA 02790
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
13304
MA
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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