Anna Urszula Borkiewicz

Individual provider Active NPI Physical Therapy Assistant · Elmwood Park, IL

NPI 1306073390 · NPPES record last updated Jun 17, 2009

Key facts

NPI
1306073390
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
003208 (NY)
Practice address
2953 N 73Rd CT
Elmwood Park, IL 60707-1217
Phone
(708) 583-1540
NPI assigned
Jun 17, 2009
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
003208NYMDBehavioral Analyst

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 003208 NY Yes

Addresses

Primary practice location

2953 N 73Rd CT
Elmwood Park, IL 60707-1217

Mailing address

2953 N 73Rd CT
Elmwood Park, IL 60707-1217

Other providers in Elmwood Park, IL

All providers in Elmwood Park, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.