Individual
HELEN HORNBUCKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2810 SANGAMON DR, CHAMPAIGN, IL 61821-4641
(217) 359-2925
Mailing address
2810 SANGAMON DR, CHAMPAIGN, IL 61821-4641
(217) 359-2925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7458
IL
Other
Enumeration date
03/11/2010
Last updated
03/11/2010
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