Individual
HANNAH ELAYNA BORNAMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3780 CLYDE MORRIS BLVD APT 204, PORT ORANGE, FL 32129-8200
(269) 365-6378
Mailing address
3780 CLYDE MORRIS BLVD APT 204, PORT ORANGE, FL 32129-8200
(269) 365-6378
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000038229
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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