Provider Demographics
NPI:1154466787
Name:BOROWSKI, AMANDA ALFANO (MPT)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:ALFANO
Last Name:BOROWSKI
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:M
Other - Last Name:ALFANO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:11 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3167
Mailing Address - Country:US
Mailing Address - Phone:973-887-9000
Mailing Address - Fax:973-887-3816
Practice Address - Street 1:234 STELTON RD
Practice Address - Street 2:2ND FLOOR
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-3244
Practice Address - Country:US
Practice Address - Phone:732-968-1999
Practice Address - Fax:732-968-1988
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01245600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist