Individual
OLE CHRISTIAN BORGESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
165 ROWLAND WAY, SUITE 101, NOVATO, CA 94945-5038
(415) 898-1311
(415) 897-0741
Mailing address
17 PIPER CT, NOVATO, CA 94947-2985
(415) 924-3124
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT27048
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27048
PHYSICAL THERAPY LICENSE
CA
Enumeration date
06/06/2007
Last updated
05/21/2008
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