Individual
HEATHER D VAN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3 MEDICAL PLAZA DR, SUITE 100, ROSEVILLE, CA 95661-3087
(916) 773-7910
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT8779
CA
Other
Enumeration date
06/27/2008
Last updated
03/04/2009
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