Individual
BORKO RODIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1070 DAIRY LN, ELIZABETHTOWN, PA 17022-9547
(717) 361-7489
(717) 361-7528
Mailing address
7 DOCK HILL RD, MIDDLEBURG, PA 17842-8910
(570) 837-2123
(570) 837-2185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT002169
PA
225100000X
Physical Therapist
Primary
PT019316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021539500001
—
PA
Enumeration date
06/23/2008
Last updated
03/01/2019
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