Individual
MRS. KATHLYN MARIE BORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2255 CAMPESTRE TER, NAPLES, FL 34119-3358
(216) 316-7144
Mailing address
2255 CAMPESTRE TER, NAPLES, FL 34119-3358
(216) 316-7144
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT13722
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT13722
FLORIDA OCCUPATIONAL THERAPY BOARD
FL
Enumeration date
01/09/2019
Last updated
01/09/2019
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