Roberta Bornemann, L M T

NPI #1154608149 in New Smyrna, Florida

Provider Information

NPI Number: 1154608149
Entity Type: Individual
Name: Roberta Bornemann, L M T
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: L M T
Enumeration Date: Nov 4, 2011
Last Updated: Nov 4, 2011

Practice Location

Address: 519 MILL RUN DRIVE
City: New Smyrna
State: Florida
ZIP Code: 32168
Phone: (386) 428-5914

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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