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General NPI Number Information
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NPI Number | 1225976152
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Entity Type | Individual
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Provider Name | AUDRIANNA BORNAMANN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/23/2026
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Last Update Date | 03/23/2026
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Provider Practice Location Address
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Address Line | 18200 OAKWOOD BLVD
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City | DEARBORN
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State | MI
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Zip | 48124-5025
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Country | US
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Telephone | 313-438-7977
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Fax |
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Provider Business Mailing Address
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Address Line | 12121 CAVELL ST
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City | LIVONIA
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State | MI
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Zip | 48150-5317
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501304425
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License Number State | MI
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