Individual
ELLEN SUMNER HORNBEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
200 TRIANGLE SHOPPING CTR STE 270, LONGVIEW, WA 98632
(360) 501-3750
(360) 501-3755
Mailing address
4712 NE 13TH CT, VANCOUVER, WA 98663-6309
(281) 620-7869
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
62610
OR
225100000X
Physical Therapist
Primary
PT60903963
WA
Other
Enumeration date
04/05/2018
Last updated
11/14/2018
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