Individual
MARK BORREGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
7100 W 13TH AVE, LAKEWOOD, CO 80214-4700
(303) 770-4682
(303) 770-4812
Mailing address
7100 W 13TH AVE, LAKEWOOD, CO 80214-4700
(303) 770-4682
(303) 770-4812
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1021498
CO
Other
Enumeration date
07/16/2009
Last updated
07/16/2009
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