Individual
REBECCA MARIE BORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
200 S MEADE ST, WILKES BARRE, PA 18702-6221
(570) 823-6131
Mailing address
40 PERKINS STREET, PLAINS, PA 18705
(570) 825-3707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE005142L
PA
Other
Enumeration date
03/20/2007
Last updated
10/08/2014
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