Provider Demographics
NPI:1235388687
Name:BOROWICZ, RACHELLE T (PT)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:T
Last Name:BOROWICZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5340 PLYMOUTH RD
Mailing Address - Street 2:STE 100
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9557
Mailing Address - Country:US
Mailing Address - Phone:248-333-3335
Mailing Address - Fax:248-333-0276
Practice Address - Street 1:18340 MIDDLEBELT RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-5008
Practice Address - Country:US
Practice Address - Phone:248-442-0030
Practice Address - Fax:248-442-0089
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005696225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist