Individual
JACLYN MARIE BORMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
111 HIGHWAY 150 N, WEST UNION, IA 52175-1050
(563) 334-3400
Mailing address
850 43RD AVE STE 100, MOLINE, IL 61265-8401
(309) 743-2070
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4058
IA
Other
Enumeration date
10/15/2009
Last updated
06/01/2023
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