Individual
BROOKE BORON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
9909 MIRA MESA BLVD STE 260, SAN DIEGO, CA 92131-1064
(858) 385-9400
(858) 384-1542
Mailing address
1427 GRANT AVE, NOVATO, CA 94945-3118
(415) 895-1705
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
304423
CA
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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