Individual
TIMOTHY BORGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
134 THURBERS AVE, 220A, PROVIDENCE, RI 02905-4754
(401) 270-9991
(401) 270-2839
Mailing address
134 THURBERS AVE, 220A, PROVIDENCE, RI 02905-4754
(401) 270-9991
(401) 270-2839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
224Z00000X
RI
174400000X
Specialist
Primary
OTA00549
RI
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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