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NPI Code Detail

MEDICARE: MRS. SUSAN BORYS PT

MEDICARE: MRS. SUSAN BORYS 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
1225100000XPhysical TherapistPT3968FL

General Provider Information

NPI Number : 1861619702
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SUSAN BORYS PT
Provider Business Mailing Address
First Line : 2055 GROVE BLUFF RD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32259-9247
Country : US
Telephone Number : 904-230-7851
Fax Number :
Provider Business Practice Location Address
First Line : 6248 103RD ST
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-7733
Country : US
Telephone Number : 904-573-0046
Fax Number : 904-573-0772
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SUSAN BORYS PT” Practice Location

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