| NPI | 1215220686 |
|---|---|
| Former Name | AMY E BORG |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1162842) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60309878) |
| 225100000X Physical Therapist (Licence: ZZ PH100725) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2014-03-26 |