Individual
REBECCA SUE BORGERDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05008752A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000483312
ANTHEM ID
IN
05
—
200829640
—
IN
01
—
363769645
TRICARE ID
IN
Enumeration date
06/30/2006
Last updated
07/31/2025
Update your record
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