Individual
KIMBERLY BORNEBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2275 BISHOP RD, LOUDON, TN 37774-4205
(865) 408-9847
Mailing address
2275 BISHOP RD, LOUDON, TN 37774-4205
(865) 408-9847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA1324
TN
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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