Individual
MRS. MELISSA HORNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2500 W REYNOLDS ST, PONTIAC, IL 61764-9774
(815) 844-4062
(815) 844-4962
Mailing address
1204 E INDIANA AVE, PONTIAC, IL 61764-1206
(815) 252-6845
(815) 844-4962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096001865
IL
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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