Glenna Beth Bornman
Occupational Therapist
3617 O Hare Dr
Mesquite
, Texas 75150-4539
Glenna Beth Bornman
Occupational Therapist
3617 O Hare Dr
Mesquite
, Texas 75150-4539
(972) 302-1491
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About
Features
Specialties
- Occupational Therapist
Languages spoken
- English
Location
First Address
- Glenna Beth Bornman
- 2302 Camp David St
- Mesquite, TX
- Zip : 75149-1922
- Phone : (972) 302-1491
Second Address
- Glenna Beth Bornman
- 3617 O Hare Dr
- Mesquite, TX
- Zip : 75150-4539
- Phone : (972) 284-8600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 106441 | TX |
National Provider Identifier
| NPI | 1003397639 |
|---|---|
| Provider Name | Glenna Beth Bornman |
| First Address | Mesquite, TX 75149-1922 |
| Second Address | Mesquite, TX 75150-4539 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/08/2018 |
| Last Update Date | 22/08/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 106441 | TEXAS STATE BOARD OF PHYSICAL THERAPY AND OCCUPATIONAL THERAPY EXAMINERS (01) | TX |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.