MEDICARE: PATRICIA JEANNE BOROWSKI OT

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	225X00000X	Occupational Therapist	002637-1	NY
2	225XP0200X	Pediatric Occupational Therapist	002637-1	NY

General Provider Information

NPI Number	:	1578866216
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICIA JEANNE BOROWSKI OT

Provider Business Mailing Address
First Line	:	45 BENTLEY AVE
Second Line	:
City	:	LAKEWOOD
State	:	NY
Zip	:	14750-1303
Country	:	US
Telephone Number	:	716-763-2626
Fax Number	:

Provider Business Practice Location Address
First Line	:	2615 N MAPLE AVE
Second Line	:
City	:	ASHVILLE
State	:	NY
Zip	:	14710-9553
Country	:	US
Telephone Number	:	716-763-1801
Fax Number	:	716-763-4832

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

Provider Enumeration Date	:	12/20/2010
Last Update Date	:	12/20/2010

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