Doctor Name: | ADAM MICHAEL BORG |
NPI Number: | 1093977589 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT-2370 |
Business Practice Address: | 1172 W Hayden Ave Hayden, ID - 838358700 |
Business Phone Number: | 2087623332 |
Business Fax Number: | 2087624268 |
Mailing Address: | 1917 N Lakewood Dr, COEUR D ALENE |
State: | ID |
Postal Code: | 838142634 |
Phone Number: | 2086648194 |
Fax Number: | 2086671847 |
NPI Enumeration Date: | 06/26/2008 |
NPI Last Update Date: | 03/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT-2370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ID |
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 |