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NPI Code Detail

MEDICARE: MARIA BARTLETT BORG PT

MEDICARE: MARIA BARTLETT BORG PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician7289CO

General Provider Information

NPI Number : 1114554599
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA BARTLETT BORG PT
Provider Business Mailing Address
First Line : 400 DEXTER ST
Second Line :
City : DENVER
State : CO
Zip : 80220-5034
Country : US
Telephone Number : 303-249-5327
Fax Number :
Provider Business Practice Location Address
First Line : 2000 S CO BLVD STE 1000
Second Line :
City : DENVER
State : CO
Zip : 80222-7939
Country : US
Telephone Number : 303-249-5327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 03/25/2020

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