Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | ||
Y | 2251P0200X | Physical Therapist - Pediatrics |
NPI | 1184102261 |
---|---|
Provider Name | Katherine Horn |
First Address | Rochester, MN 55901-8343 |
Second Address | Rochester, MN 55901-8343 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2018 |
Last Update Date | 01/08/2018 |