Healthcare Provider Details

I. General information

NPI: 1831981711
Provider Name (Legal Business Name): BRADY BOROWSKI OTD, OTR/L
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 8TH ST NW
ROCHESTER MN
55901-6817
US

IV. Provider business mailing address

3215 LAKE ST NW
ROCHESTER MN
55901-8480
US

V. Phone/Fax

Practice location:
  • Phone: 507-289-4031
  • Fax:
Mailing address:
  • Phone: 507-273-0034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: