Individual provider · Type 1 NPI

Nadine Theresa Bourg, CERTIFIED ORTHOTIST

Specialist · Chattanooga, TN

NPI number 1255476412 Active

Practice location

3700 Brainerd Rd
Chattanooga, TN 37411-3603

Call (423) 697-0057 Map

Fax (423) 607-0666

Mailing address

3306 Windsor Ct
Chattanooga, TN 37411-4220

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

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 1255476412

Nadine Theresa Bourg, CERTIFIED ORTHOTIST's National Provider Identifier is 1255476412, issued on Feb 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chattanooga, TN. The record was last updated on Jul 8, 2007.