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Individual

MRS. LISA A. BORNEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
5591 HURON HILLS DR, COMMERCE TWP, MI 48382-4820
(248) 245-3916
Mailing address
5591 HURON HILLS DR, COMMERCE TWP, MI 48382-4820

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201001024
MI

Other

Enumeration date
05/14/2007
Last updated
01/19/2019
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