Alexander Dmitry Borden, PTA
Physical Therapy Assistant in Raleigh, NC. Individual provider (NPI-1).
NPI number1215696166
StatusActive
Last updated in NPPESDec 8, 2021
Details
- NPI
- 1215696166
- Entity type
- Individual (NPI-1)
- Name
- Alexander Dmitry Borden
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 8, 2021
- Certification date
- Dec 8, 2021
- Last updated
- Dec 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | A7272 | NC | Yes |
Practice location
11081 Forest Pines Dr Ste 112Raleigh, NC 27614-7656
Phone 919-348-5719
Mailing address
4217 Avent Ferry Rd Apt 1Raleigh, NC 27606-4812
Phone 984-244-4954
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All 140 Physical Therapy Assistant providers in Raleigh · All 22,031 providers in Raleigh
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