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NPI Code Detail

MEDICARE: MEGAN ELAINE BORJAN DPT

MEDICARE: MEGAN ELAINE BORJAN DPT
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 Therapist40798CA

General Provider Information

NPI Number : 1033527544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN ELAINE BORJAN DPT
Provider Business Mailing Address
First Line : 8282 WHITE OAK AVE STE 107
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-7681
Country : US
Telephone Number : 909-586-0509
Fax Number :
Provider Business Practice Location Address
First Line : 8282 WHITE OAK AVE STE 107
Second Line :
City : RANCHO CUCAMONGA
State : CA
Zip : 91730-7681
Country : US
Telephone Number : 909-586-0509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/28/2014
Last Update Date : 06/08/2021

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Directions to “ MEGAN ELAINE BORJAN DPT” Practice Location

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