Individual
ADAM MICHAEL BORG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1172 W HAYDEN AVE, HAYDEN, ID 83835-8700
(208) 762-3332
(208) 762-4268
Mailing address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 664-8194
(208) 667-1847
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-2370
ID
Other
Enumeration date
06/26/2008
Last updated
03/06/2009
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