Individual
MRS. MOLLY BOROUGHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
195 S PENNSYLVANIA ST, APT 306, DENVER, CO 80209-1957
(703) 728-8612
Mailing address
195 S PENNSYLVANIA ST, APT 306, DENVER, CO 80209-1957
(703) 728-8612
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012706
CO
225700000X
Massage Therapist
MT.0012105
CO
Other
Enumeration date
03/01/2013
Last updated
03/01/2013
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