Provider Demographics
NPI:1447563689
Name:BORKOWSKI, TERRY CHET (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:TERRY
Middle Name:CHET
Last Name:BORKOWSKI
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 ANTRIM AVE
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:SC
Mailing Address - Zip Code:29369-9105
Mailing Address - Country:US
Mailing Address - Phone:864-909-3589
Mailing Address - Fax:
Practice Address - Street 1:130 ANTRIM AVENUE
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:SC
Practice Address - Zip Code:29369
Practice Address - Country:US
Practice Address - Phone:864-838-0768
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-16
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2435225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation