Individual
MS. THERESA HORNBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
5425 HIGH MILL AVE NW, MASSILLON, OH 44646-9005
(330) 833-3174
Mailing address
4673 BRUNNERDALE AVE NW, CANTON, OH 44718-2107
(330) 499-3219
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT003103
OH
Other
Enumeration date
06/03/2007
Last updated
07/08/2007
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