Mr. Dennis Borja Miranda
Physical Therapist - Geriatrics
311 W Kalsched St Apt. 209
Marshfield
, Wisconsin 54449-1466
Mr. Dennis Borja Miranda
Physical Therapist - Geriatrics
311 W Kalsched St Apt. 209
Marshfield
, Wisconsin 54449-1466
(715) 383-0102
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mr. Dennis Borja Miranda
- 311 W Kalsched St Apt. 209
- Marshfield, WI
- Zip : 54449-1466
- Phone : (715) 383-0102
Second Address
- Mr. Dennis Borja Miranda
- 311 W Kalsched St Apt. 209
- Marshfield, WI
- Zip : 54449-1466
- Phone : (715) 383-0102
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | 11134024 | WI |
National Provider Identifier
| NPI | 1285868513 |
|---|---|
| Provider Name | Mr. Dennis Borja Miranda |
| First Address | Marshfield, WI 54449-1466 |
| Second Address | Marshfield, WI 54449-1466 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2009 |
| Last Update Date | 14/05/2009 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.