Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT-9045 | OH |
NPI | 1003037995 |
---|---|
Provider Name | Mr. Daniel Richard Vanhorn |
First Address | Parma, OH 44134 |
Second Address | Richfield, OH 44286 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |