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Individual

ROBIN DENISE BOREL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

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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