MEDICARE: ARLENE BORLAND OTR/L

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	174400000X	Specialist	OT2274	FL

General Provider Information

NPI Number	:	1750776662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARLENE BORLAND OTR/L

Provider Business Mailing Address
First Line	:	1206 SW MAIN BOULEVARD
Second Line	:	SUITE 101
City	:	LAKE CITY
State	:	FL
Zip	:	32025
Country	:	US
Telephone Number	:	386-752-0939
Fax Number	:

Provider Business Practice Location Address
First Line	:	1206 SW MAIN BLVD
Second Line	:	SUITE 101
City	:	LAKE CITY
State	:	FL
Zip	:	32025-6602
Country	:	US
Telephone Number	:	386-752-0939
Fax Number	:

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

Provider Enumeration Date	:	03/30/2015
Last Update Date	:	03/30/2015

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Directions to “ ARLENE BORLAND OTR/L” Practice Location

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