Individual
JAMIE L BORCHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
Mailing address
1010 E WAUSAU AVE, WAUSAU, WI 54403-3101
(715) 842-2028
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5060-26
WI
225XG0600X
Gerontology Occupational Therapist
5060-26
WI
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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