Borst, Michele Diane

Borst, Michele Diane is an individual health care provider with primary practice located at 2601A Demere Rd , St Simons Island GA 31522-1614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Borst, Michele Diane can be contacted via phone (912) 634-9945.

Contact Information

Primary practice address
2601A Demere Rd St Simons Island GA 31522-1614
Phone: (912) 634-9945
Fax: (912) 638-1584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT008488 Georgia

Profile Details

NPI number 1811031206
LBN Legal business name Borst, Michele Diane
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811031206 NPPES
Georgia Other PT008488 PT LICENSE NUMBER

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