Individual
BILLY BORAPHET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20821 SR 410 E, BONNEY LAKE, WA 98391-6301
(253) 863-7510
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2024
Last updated
10/09/2024
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