Individual
MISS TRACI LYNN BORLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
731 KLEIN CIRCLE, DERBY, KS 67037
(316) 719-2400
Mailing address
731 KLEIN CIR, DERBY, KS 67037-7011
(316) 719-2400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17-02574
KS
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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