Brian Joseph Borden, P.T.
Physical Therapist in Jacksonville Beach, FL. Individual provider (NPI-1).
NPI number1427119437
StatusActive
Last updated in NPPESNov 20, 2023
Details
- NPI
- 1427119437
- Entity type
- Individual (NPI-1)
- Name
- Mr. Brian Joseph Borden
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 13, 2006
- Certification date
- Nov 20, 2023
- Last updated
- Nov 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT22603 | FL | Yes |
Practice location
1361 13th Ave S Ste 160Jacksonville Beach, FL 32250-3235
Phone 904-339-8406 · Fax 904-339-8407
Mailing address
105 Southpark Blvd Ste B201Saint Augustine, FL 32086-5159
Phone 904-824-1636
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