| Doctor Name: | OLE CHRISTIAN BORGESEN |
| NPI Number: | 1043413230 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | PT27048 |
| Business Practice Address: | 165 Rowland Way Suite 101 Novato, CA - 949455038 |
| Business Phone Number: | 4158981311 |
| Business Fax Number: | 4158970741 |
| Mailing Address: | 17 Piper Ct, NOVATO |
| State: | CA |
| Postal Code: | 949472985 |
| Phone Number: | 4159243124 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 05/21/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT27048 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |