Individual
LAURIE LUCINDA BORAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, LMT
Contact information
Practice address
951 N WASHINGTON AVE, TITUSVILLE, FL 32796-2163
(321) 268-6111
Mailing address
1228 FLOWERS POINTE LN, ORLANDO, FL 32825-5523
(407) 929-9560
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25884
FL
Other
Enumeration date
09/21/2017
Last updated
03/17/2018
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