Individual
MS. JILL MARIE BOORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2070 NORTHBROOK BLVD, SUITE A 10, NORTH CHARLESTON, SC 29406-9252
(843) 797-5167
(843) 797-5723
Mailing address
2070 NORTHBROOK BLVD, SUITE A 10, NORTH CHARLESTON, SC 29406-9252
(843) 797-5167
(843) 797-5723
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2390
SC
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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