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Individual

MR. THEODORE PAUL BORCHERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTRL

Contact information

Practice address
1420 HIGHWAY 62 65 N STE A, HARRISON, AR 72601-1959
(870) 743-4438
(870) 741-0736
Mailing address
1420 HIGHWAY 62 65 N STE A, HARRISON, AR 72601-1959
(870) 743-4438
(870) 741-0736

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR423
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142590721
AR
Enumeration date
07/14/2005
Last updated
01/08/2010
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