Provider Demographics
NPI:1891272100
Name:O'BRIEN-HORN, MOLLY C (PT, DPT, CLT)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:C
Last Name:O'BRIEN-HORN
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 NORTHUMBERLAND WAY
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH JUNCTION
Mailing Address - State:NJ
Mailing Address - Zip Code:08852-2371
Mailing Address - Country:US
Mailing Address - Phone:609-457-1660
Mailing Address - Fax:
Practice Address - Street 1:901 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2537
Practice Address - Country:US
Practice Address - Phone:732-294-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT023787208100000X
NJ40QA01583200208100000X
CAPT294967208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT023787OtherPENNSYLVANIA PT LICENSE NUMBER
NJ40QA01583200OtherNEW JERSEY PT LICENSE NUMBER
CAPT294967OtherCALIFORNIA PT LICENSE NUMBER