Individual provider · NPI-1

Lois E Bordner, PTA

Physical Therapy Assistant · Millersburg, PA

NPI number1942549639
StatusActive
Last updated in NPPESJan 31, 2013

Details

NPI
1942549639
Entity type
Individual (NPI-1)
Name
Lois E Bordner
Credential
PTA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jan 31, 2013
Last updated
Jan 31, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantTEI00061PAYes

Practice location

117 Tarry Hall Rd
Millersburg, PA 17061-9151

Phone 717-756-2683

Mailing address

117 Tarry Hall Rd
Millersburg, PA 17061-9151

Phone 717-756-2683

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