Healthcare Provider Details

I. General information

NPI: 1760072334
Provider Name (Legal Business Name): KATRINA BORGES MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2021
Last Update Date: 01/19/2021
Certification Date: 01/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

765 ALLENS AVE STE 200
PROVIDENCE RI
02905-5443
US

IV. Provider business mailing address

205 SHERMAN AVE
SEEKONK MA
02771-4913
US

V. Phone/Fax

Practice location:
  • Phone: 401-432-6800
  • Fax:
Mailing address:
  • Phone: 508-431-6354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: