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Individual
JEFFREY SCOTT BORCIK
Active
Individual
JEFFREY SCOTT BORCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1159469
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1159469
LICENSE
TX
01
—
1487976478
NPI TYPE 2
TX
Enumeration date
10/24/2006
Last updated
11/02/2021
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