Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS CRYSTAL MARIE BORDE, COTA
Active Sole ProprietorMISS CRYSTAL MARIE BORDE, COTA is a Occupational Therapy Assistant healthcare provider located in EDGERTON, Wisconsin. NPI 1245722305 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · EDGERTON, WI
Registration Details
- NPI Number
- 1245722305
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2018 (8.010689204745 yrs)
- Last Updated
- Jun 5, 2018
- License
-
5466-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
313 STOUGHTON RDEDGERTON, WI, 535341132Browse WI providers · Browse ZIP 53534
- Phone
- 6088841330
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in EDGERTON, WI
| Name | Credential | NPI |
|---|---|---|
| MS. MARY J. FARNER-OREN | COTA | 1255464285 |
| MRS. ANN TERESE RUDEL | COTA | 1871796946 |
| JERI LAMBERT | COTA | 1639344096 |
| THERESA DENIEGE LONDON | — | 1801142641 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.