Individual
KELLY POTTER BORGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4747 N HOLLAND SYLVANIA RD, SYLVANIA, OH 43560-2116
(419) 885-4588
Mailing address
2425 WIMBLEDON PARK BLVD, TOLEDO, OH 43617-2237
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
003449
OH
Other
Enumeration date
08/21/2017
Last updated
08/29/2017
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