MS. Nadine Theresa Bourg, CERTIFIED ORTHOTIST

NPI #1255476412 in Chattanooga, Tennessee

Provider Information

NPI Number: 1255476412
Entity Type: Individual
Name: MS. Nadine Theresa Bourg, CERTIFIED ORTHOTIST
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: CERTIFIED ORTHOTIST
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3700 BRAINERD RD
City: Chattanooga
State: Tennessee
ZIP Code: 37411-3603
Phone: (423) 697-0057

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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