Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT3969 | FL |
N | 225XG0600X | Occupational Therapist - Gerontology | OT3969 | FL |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | OT3969 | FL |
NPI | 1891831236 |
---|---|
Provider Name | Linda Ann Borgmeyer |
First Address | Palm Beach Gardens, FL 33410-4515 |
Second Address | Palm Beach Gardens, FL 33410-4515 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 03/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
882093701 | (05) | FL |