Individual
OSCAR JEROME III HORMILLOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
15 FOREST PARK PLZ, BRAZIL, IN 47834-2737
(812) 420-1114
(812) 420-1115
Mailing address
619 E SPRINGHILL DR, TERRE HAUTE, IN 47802-4448
(812) 232-3504
(812) 232-6396
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036237
NY
225100000X
Physical Therapist
Primary
05011813A
IN
Other
Enumeration date
10/22/2015
Last updated
07/22/2022
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