Individual
MR. DYLAN JOSEPH BORRUANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3923 CYPRESS HALL DR, ADDIS, LA 70710-3014
(000) 000-0000
Mailing address
3923 CYPRESS HALL DR, ADDIS, LA 70710-3014
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A10910
LA
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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