Individual
NATALIE MARIE HORRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10161 PINE CREST RD, RED BUD, IL 62278-4458
(618) 615-8843
Mailing address
10161 PINE CREST RD, RED BUD, IL 62278-4458
(618) 615-8843
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057005324
IL
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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