Susan L. Borg P.T.A.

NPI 1447431754 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1447431754
Gender Female
Enumeration Date 11/15/2007
Last Updated 11/25/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
575 E MAIN ST
ELMA WA, 98541-9551, US
Phone (360) 482-5640
Fax (360) 482-5132
Business Location
575 E MAIN ST
PO BOX 723, SUITE A
ELMA WA, 98541-9551, US
Phone (360) 482-5640
Fax (360) 482-5132
Toxanomy
Taxonomy Code 225200000X
License State Washington
License Number P160038239
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According to our database, Susan L. Borg P.T.A. NPI is 1447431754, taxonomy code is 225200000X and license number is P160038239, license state is located at Washington. Susan L. Borg P.T.A. physically located at 575 E Main St, Elma WA, 98541-9551. NPI Number Susan L. Borg P.T.A. has the Individual type.

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1447431754 NPI number is provided on an as is basis without warranty of any kind. 1447431754 is maintained by the National Plan & Provider Enumeration System. The contents of Susan L. Borg P.T.A. are for informational purposes only.