Individual
KYLE BOROWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T. AND O.T.
Contact information
Practice address
103 S PIONEER RD # 100, FOND DU LAC, WI 54935-3871
(920) 922-7776
(920) 922-2938
Mailing address
103 S PIONEER RD # 100, FOND DU LAC, WI 54935-3871
(920) 922-7776
(920) 922-2938
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9887-024
WI
225X00000X
Occupational Therapist
2895-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40826900
—
WI
Enumeration date
07/18/2006
Last updated
01/26/2024
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