Organization
PHYLLIS BORGARDT & ASSC., INC.
Active
Other names
Mobility Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHYLLIS L BORGARDT OTR-L (PRESIDENT)
(805) 489-9335
Entity
Organization
Contact information
Practice address
191 S OAK PARK BLVD, SUITE #5, GROVER BEACH, CA 93433-2265
(805) 489-9335
(805) 489-9327
Mailing address
191 S OAK PARK BLVD, GROVER BEACH, CA 93433-2265
(805) 489-9335
(805) 489-9327
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43293
HOME MEDICAL DEVICE
CA
05
—
DME03230F
—
CA
Enumeration date
05/08/2006
Last updated
08/22/2020
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