Individual
KELLY HORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(920) 674-6077
Mailing address
313 MEMORIAL DR, FORT ATKINSON, WI 53538-1951
(920) 568-9963
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1866-27
WI
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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