Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 012650 | OH |
N | 2251G0304X | Physical Therapist - Geriatrics | ||
N | 2251S0007X | Physical Therapist - Sports | ||
N | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1457834103 |
---|---|
Provider Name | Mrs. Erica Borstelman |
First Address | Delaware, OH 43015-1410 |
Second Address | Delaware, OH 43015-1410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/09/2018 |
Last Update Date | 10/09/2018 |