Individual
CHRISTINE BORNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 BEVILLE RD, STE G, SOUTH DAYTONA, FL 32119-1712
(800) 330-7711
(866) 426-2811
Mailing address
58381 470TH ST, SEBEKA, MN 56477-2582
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A270
MN
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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