| Organization Name: | BORJA PHYSICAL THERAPY |
| NPI Number: | 1043603483 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEX BORJA (PHYSICAL THERAPIST/MANAGER/OWNER) |
| Mailing Address: | 8243 Hall Rd Suite 201 Utica |
| State: | MI US |
| Postal Code: | 483175504 |
| Phone Number: | 5869252046 |
| Fax Number: | |
| NPI Enumeration Date: | 03/10/2015 |
| NPI Last Update Date: | 03/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | 5501016572 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |