Individual
MRS. CYNTHIA LYNN BORKENHAGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1111 DELAFIELD ST, SUITE 120, WAUKESHA, WI 53188-3417
(262) 521-9762
(262) 521-1091
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3508
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40830400
—
WI
Enumeration date
11/18/2005
Last updated
03/18/2015
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