Individual
MR. DALE N HORIUCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
900 SOUTH 12TH STREET, ROCKY FORD, CO 81067
(719) 254-4202
(719) 254-4202
Mailing address
818 SOUTH 5TH, ROCKY FORD, CO 81067
(719) 254-6033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7273
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
49835556
—
CO
Enumeration date
11/22/2006
Last updated
07/08/2007
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