MEDICARE: DANNI MOSS BORRON PT, 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
1	225100000X	Physical Therapist	5523	SC

General Provider Information

NPI Number	:	1497953491
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANNI MOSS BORRON PT, DPT

Provider Business Mailing Address
First Line	:	PO BOX 170038
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29301-0020
Country	:	US
Telephone Number	:	864-574-7282
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 WILLOW LN
Second Line	:
City	:	SPARTANBURG
State	:	SC
Zip	:	29307-1365
Country	:	US
Telephone Number	:	864-641-3125
Fax Number	:	864-514-5739

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2007
Last Update Date	:	04/13/2026

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