Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081S0010X | Sports Medicine | 34.012141 | OH |
Y | 213ES0000X | Sports Medicine | 34.012141 | OH |
N | 2081S0010X | Sports Medicine | OS017859 | PA |
N | 213ES0000X | Sports Medicine | OS017859 | PA |
NPI | 1437461142 |
---|---|
Provider Name | Patricia Ann Bornhorst |
First Address | Columbus, OH 43202-1232 |
Second Address | Dublin, OH 43016-3241 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2010 |
Last Update Date | 19/10/2020 |