Individual
MRS. JAMIE MARIE BORNTRAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
670 SKYLINE DR, JACKSON, TN 38301-3934
(731) 541-6844
(731) 541-4436
Mailing address
448 W UNIVERSITY PKWY, JACKSON, TN 38305-3528
(731) 394-4395
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0000004380
TN
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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