MEDICARE: ISABEL RUTH BORRMANN

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	106S00000X	Behavior Technician	22-238403	IN

General Provider Information

NPI Number	:	1720883614
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ISABEL RUTH BORRMANN

Provider Business Mailing Address
First Line	:	22154 MAPLE CT
Second Line	:
City	:	WOODBURN
State	:	IN
Zip	:	46797-9711
Country	:	US
Telephone Number	:	219-323-5982
Fax Number	:

Provider Business Practice Location Address
First Line	:	275 E JACKSON ST N
Second Line	:
City	:	BLUFFTON
State	:	IN
Zip	:	46714-9298
Country	:	US
Telephone Number	:	260-565-3135
Fax Number	:

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

Provider Enumeration Date	:	02/15/2025
Last Update Date	:	02/15/2025

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Directions to “ ISABEL RUTH BORRMANN ” Practice Location

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