Individual
KISA N. HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17 HORTON LN, HENSLEY, AR 72065-9519
(501) 412-7715
Mailing address
17 HORTON LN, HENSLEY, AR 72065-9519
(501) 412-7715
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 1798
AR
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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