Provider Demographics
NPI:1477009843
Name:BORDER, CAROLINE ASHLEY (PT)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:ASHLEY
Last Name:BORDER
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 1:224-D CORNWALL STREET, NW, SUITE 200
Mailing Address - Street 2:224-D CORNWALL STREET, NW, SUITE 200
Mailing Address - City:LEESBURG
Mailing Address - State:VA
Mailing Address - Zip Code:20176-2700
Mailing Address - Country:US
Mailing Address - Phone:703-443-2223
Mailing Address - Fax:703-443-2690
Practice Address - Street 1:224-D CORNWALL STREET, NW, SUITE 200
Practice Address - Street 2:
Practice Address - City:LEESBURG, VA
Practice Address - State:VA
Practice Address - Zip Code:20176-2700
Practice Address - Country:US
Practice Address - Phone:703-443-2223
Practice Address - Fax:703-443-2690
Is Sole Proprietor?:No
Enumeration Date:2016-08-26
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210640225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist