Jamie L Borchardt
Occupational Therapist Occupational Therapist - Gerontology
1010 E Wausau Ave
Wausau
, Wisconsin 54403-3101
Jamie L Borchardt
Occupational Therapist Occupational Therapist - Gerontology
1010 E Wausau Ave
Wausau
, Wisconsin 54403-3101
(715) 842-2028
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About
Features
Specialties
- Occupational Therapist
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Jamie L Borchardt
- 1010 E Wausau Ave
- Wausau, WI
- Zip : 54403-3101
- Phone : (715) 842-2028
Second Address
- Jamie L Borchardt
- 1010 E Wausau Ave
- Wausau, WI
- Zip : 54403-3101
- Phone : (715) 842-2028
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 5060-26 | WI |
| N | 225XG0600X | Occupational Therapist - Gerontology | 5060-26 | WI |
National Provider Identifier
| NPI | 1508134503 |
|---|---|
| Provider Name | Jamie L Borchardt |
| First Address | Wausau, WI 54403-3101 |
| Second Address | Wausau, WI 54403-3101 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2011 |
| Last Update Date | 05/12/2011 |
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.