Provider Demographics
NPI:1134788755
Name:HORN, BRITTANI JONIELLE (PT)
Entity type:Individual
Prefix:
First Name:BRITTANI
Middle Name:JONIELLE
Last Name:HORN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:BRITTANI
Other - Middle Name:
Other - Last Name:AUZENNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:423-238-7217
Mailing Address - Fax:
Practice Address - Street 1:4654 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-1804
Practice Address - Country:US
Practice Address - Phone:281-753-0532
Practice Address - Fax:281-205-4151
Is Sole Proprietor?:No
Enumeration Date:2019-06-07
Last Update Date:2024-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1298290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist