Individual
COLLEEN M HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 GREEN AVE, EFFINGHAM, IL 62401-4661
(217) 821-5557
Mailing address
1201 GREEN AVE, EFFINGHAM, IL 62401-4661
(217) 821-5557
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001759
IL
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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