Individual provider · Type 1 NPI
Wayne Bornstein, C.O.T.A
Specialist · Dallas, TX
NPI number
1235341504
Active
Practice location
9011 John W Carpenter Fwy, 101
Dallas, TX 75247-4525
Mailing address
4703 Mckinney Ave, 'a'
Dallas, TX 75205-5571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 209067 (TX) |
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.
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About NPI 1235341504
Wayne Bornstein, C.O.T.A's National Provider Identifier is 1235341504, issued on May 7, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Dallas, TX. The record was last updated on Jul 8, 2007.