Individual
LORI MARIE BORDENAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6062
Mailing address
5850 E STILL CIR, MESA, AZ 85206-3618
(480) 219-6062
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1523
AZ
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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