Individual
MR. STEPHEN E BORETZKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1212 YORK RD STE C101, LUTHERVILLE, MD 21093-6212
(410) 321-0377
(410) 821-7517
Mailing address
1212 YORK RD STE C101, LUTHERVILLE, MD 21093-6212
(410) 321-0377
(410) 821-7517
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4938
MD
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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