Individual provider · Type 1 NPI
Roberta Bornemann, L M T
Specialist · New Smyrna, FL
NPI number
1154608149
Active
Practice location
519 Mill Run Drive
New Smyrna, FL 32168
Mailing address
519 Mill Run Dr
New Smyrna, FL 32168-1929
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA19781 (FL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1154608149
Roberta Bornemann, L M T's National Provider Identifier is 1154608149, issued on Nov 4, 2011. The primary taxonomy on file is Specialist (174400000X), and the practice location is in New Smyrna, FL. The record was last updated on Nov 4, 2011.