Individual
ERIK KRISTOPHER BORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DP T
Contact information
Practice address
8677 N PORT WASHINGTON RD, FOX POINT, WI 53217-2209
(414) 351-8482
Mailing address
8677 N PORT WASHINGTON RD, FOX POINT, WI 53217-2209
(414) 351-8482
(414) 351-8483
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9931-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36109200
—
WI
Enumeration date
05/18/2006
Last updated
04/19/2017
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