Individual
MRS. CATHERINE JEAN BOREK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4000 N PROVIDENCE AVE, APPLETON, WI 54913-8018
(920) 968-0814
(920) 734-6159
Mailing address
1000 MIDWAY RD, MENASHA, WI 54952-1116
(192) 025-7579
(920) 257-2004
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1784-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1784-26
LICENSE NUMBER
WI
Enumeration date
10/12/2022
Last updated
10/26/2022
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