Individual
DEBORAH LYNN BORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
333 W MAIN ST, MADISON, WI 53703-2777
(608) 283-2000
Mailing address
7329 TIMBER LAKE TRL APT 206, MADISON, WI 53719-3717
(608) 395-8348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5821-27
WI
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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