Provider Demographics
NPI:1932797909
Name:HORBACH, TINA MAY (RT(R)(ARRT))
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:MAY
Last Name:HORBACH
Suffix:
Gender:F
Credentials:RT(R)(ARRT)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S 7TH AVE STE 135
Mailing Address - Street 2:
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1442
Mailing Address - Country:US
Mailing Address - Phone:484-628-4289
Mailing Address - Fax:610-736-0721
Practice Address - Street 1:420 S 5TH AVE
Practice Address - Street 2:
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-2143
Practice Address - Country:US
Practice Address - Phone:484-628-4289
Practice Address - Fax:610-736-0721
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes243U00000XTechnologists, Technicians & Other Technical Service ProvidersRadiology Practitioner Assistant