Provider Demographics
NPI:1609021989
Name:HORIZONE PHYSICAL THERAPY AND REHABILITATION INC
Entity Type:Organization
Organization Name:HORIZONE PHYSICAL THERAPY AND REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JULITA
Authorized Official - Middle Name:E
Authorized Official - Last Name:LATHERS
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:941-258-3510
Mailing Address - Street 1:4161 TAMIAMI TRL
Mailing Address - Street 2:SUITE 304A
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33952-9204
Mailing Address - Country:US
Mailing Address - Phone:941-258-3510
Mailing Address - Fax:941-258-3512
Practice Address - Street 1:4161 TAMIAMI TRL
Practice Address - Street 2:SUITE 304A
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-9204
Practice Address - Country:US
Practice Address - Phone:941-258-3510
Practice Address - Fax:941-258-3512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-01
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty