Individual
MR. ERIC GLEN BORSTELMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
29 ADAMS WAY NW, ADAIRSVILLE, GA 30103-5385
(470) 309-4953
Mailing address
1701 5TH ST W, PALMETTO, FL 34221-4307
(470) 309-4953
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
213486
TX
224Z00000X
Occupational Therapy Assistant
OTA001923
GA
224Z00000X
Occupational Therapy Assistant
Primary
OTA17469
FL
Other
Enumeration date
07/05/2017
Last updated
05/21/2020
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