Individual
ROBIN DENISE BOREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 639-1141
(636) 635-5685
Mailing address
4101 S MEDFORD DR, LUFKIN, TX 75901-5633
(936) 639-1141
(936) 635-5685
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
105092
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004491901
—
TX
01
—
126792
SUPERIOR-CHIP
TX
01
—
82601T
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/08/2006
Last updated
11/04/2008
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