Provider Demographics
NPI:1063607091
Name:HORNSBY, GENA PATRICK (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:GENA
Middle Name:PATRICK
Last Name:HORNSBY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2075 MAX LUTHER DR
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35810-3859
Mailing Address - Country:US
Mailing Address - Phone:256-852-5600
Mailing Address - Fax:256-852-6722
Practice Address - Street 1:2075 MAX LUTHER DR
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35810-3859
Practice Address - Country:US
Practice Address - Phone:256-852-5600
Practice Address - Fax:256-852-6722
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2007-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2607225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist