Individual
MS. TAMMY LYNNE BORUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3750 SW STATE ROUTE T, POLO, MO 64671-8713
(816) 284-0928
Mailing address
3750 SW STATE ROUTE T, POLO, MO 64671-8713
(816) 284-0928
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01750
MO
Other
Enumeration date
07/21/2010
Last updated
04/12/2023
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