Provider Demographics
NPI:1083625552
Name:HORNIBROOK, CLAUDIA J (PT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:J
Last Name:HORNIBROOK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:1939 MINNEHAHA AVE W STE 300
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-1033
Mailing Address - Country:US
Mailing Address - Phone:651-748-4338
Mailing Address - Fax:651-748-2892
Practice Address - Street 1:6529 CECILIA CIR
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55439-2719
Practice Address - Country:US
Practice Address - Phone:651-348-7428
Practice Address - Fax:651-348-7432
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2023-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MN5079225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist