Individual
JUDITH A HORROCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1791 MESQUITE AVE, LAKE HAVASU CITY, AZ 86403-5648
(928) 855-4248
(928) 855-7452
Mailing address
25 RIVIERA BLVD, LAKE HAVASU CITY, AZ 86403-5694
(928) 505-5555
(928) 505-2877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6762
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
412375
—
AZ
Enumeration date
01/26/2009
Last updated
08/02/2012
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