Provider Demographics
NPI:1821583014
Name:HORNE, RYAN (OTR)
Entity Type:Individual
Prefix:
First Name:RYAN
Middle Name:
Last Name:HORNE
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 IRISH HILL RD
Mailing Address - Street 2:
Mailing Address - City:WARREN CENTER
Mailing Address - State:PA
Mailing Address - Zip Code:18851-7798
Mailing Address - Country:US
Mailing Address - Phone:570-497-0814
Mailing Address - Fax:
Practice Address - Street 1:101 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:PA
Practice Address - Zip Code:17976-1701
Practice Address - Country:US
Practice Address - Phone:570-462-1908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-29
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist