Individual
KINLI MARIE BORQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3817 STAGG DR, BEAUMONT, TX 77701-3717
(409) 866-0856
Mailing address
1310 NEVADA ST, SOUR LAKE, TX 77659-7202
(409) 790-6504
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2171553
TX
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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