Doctor Name: | HOPE BOREN |
NPI Number: | 1003239799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT004813 |
Business Practice Address: | 7244 E Main St Reynoldsburg, OH - 430682014 |
Business Phone Number: | 6145011020 |
Business Fax Number: | |
Mailing Address: | 12100 Tollgate Ct, PICKERINGTON |
State: | OH |
Postal Code: | 431479266 |
Phone Number: | 6149892933 |
Fax Number: | |
NPI Enumeration Date: | 01/30/2014 |
NPI Last Update Date: | 01/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT004813 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |