| Doctor Name: | TINA MARIE BORCHERS |
| NPI Number: | 1073891032 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT, DPT, CMT |
| License Number: | 2011021959 |
| Business Practice Address: | 300 S Nolen Dr Ste 100 Southlake, TX - 760928056 |
| Business Phone Number: | 8174107777 |
| Business Fax Number: | 8174109906 |
| Mailing Address: | 300 S Nolen Dr, Ste 100 SOUTHLAKE |
| State: | TX |
| Postal Code: | 760928056 |
| Phone Number: | 8174107777 |
| Fax Number: | 8174109906 |
| NPI Enumeration Date: | 07/25/2011 |
| NPI Last Update Date: | 10/27/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 2011021959 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |