Provider Demographics
NPI:1043251580
Name:HORN, LINDA BERNADETTE (PT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:BERNADETTE
Last Name:HORN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:BERNADETTE
Other - Last Name:LIPP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1620 BRIMFIELD CIR
Mailing Address - Street 2:
Mailing Address - City:ELDERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:21784-5965
Mailing Address - Country:US
Mailing Address - Phone:410-795-5949
Mailing Address - Fax:
Practice Address - Street 1:900 S CATON AVE
Practice Address - Street 2:REHAB. SERVICES DEPT., BOX 047
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21229-5201
Practice Address - Country:US
Practice Address - Phone:410-368-2804
Practice Address - Fax:410-368-3532
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15661225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist