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NPI Code Detail

MEDICARE: KATRINA A HORAN DPT

MEDICARE:   KATRINA A HORAN  DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305211369VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1C05954OTHERVAGROUP MEDICARE PTAN

General Provider Information

NPI Number : 1457875445
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA A HORAN DPT
Provider Business Mailing Address
First Line : 2122 YORK RD STE 300
Second Line :
City : OAK BROOK
State : IL
Zip : 60523-1925
Country : US
Telephone Number : 630-575-6200
Fax Number : 410-648-4878
Provider Business Practice Location Address
First Line : 3100 W MARSHALL ST
Second Line :
City : RICHMOND
State : VA
Zip : 23230-4706
Country : US
Telephone Number : 804-342-5857
Fax Number : 804-355-0408
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2017
Last Update Date : 02/28/2025

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Directions to “ KATRINA A HORAN DPT” Practice Location

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