Organization
ABC PEDIATRIC PHYSICAL THERAPY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN ALLEN BORCHARDT PT (PRESIDENT-OWNER)
(701) 281-1864
Entity
Organization
Contact information
Practice address
7119 MAPLE LN, HORACE, ND 58047-4714
(701) 281-1864
(701) 281-1924
Mailing address
7119 MAPLE LN, HORACE, ND 58047-4714
(701) 281-1864
(701) 281-1924
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107037
HEALTH PARTNERS
—
01
—
161391043815
CIGNA-PREFERRED ONE
—
05
—
54528
—
ND
01
—
5952001
BLUE CROSS BLUE SHIELD
ND
Enumeration date
01/03/2007
Last updated
08/22/2020
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