Individual
MR. MATTHEW CHRISTOPHER BORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
210 W LACROSSE AVE, COEUR D ALENE, ID 83814-2403
(208) 664-2185
Mailing address
18033 N 7TH DR, PHOENIX, AZ 85023-1503
(602) 374-3247
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5240
AZ
Other
Enumeration date
08/29/2013
Last updated
07/14/2014
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