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Individual

KATIE BOREK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2764 E FOWLER AVE, TAMPA, FL 33612-6277
(845) 235-4574
Mailing address
8675 29TH WAY N APT 203, PINELLAS PARK, FL 33782-6223
(845) 235-4574

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
009701
NY
225X00000X
Occupational Therapist
Primary
OT24709
FL

Other

Enumeration date
04/18/2018
Last updated
10/19/2023
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