Individual
JACOB HORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2285 DEERFIELD LN, HELENA, MT 59601-8643
(406) 439-6937
Mailing address
2285 DEERFIELD LN, HELENA, MT 59601-8643
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTP-OT-LIC-7714
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2020
Last updated
11/04/2020
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