Provider Demographics
NPI:1710198874
Name:BORGIE, BRIANNE (MT-BC)
Entity Type:Individual
Prefix:
First Name:BRIANNE
Middle Name:
Last Name:BORGIE
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W WARNER RD
Mailing Address - Street 2:#2054
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85233-7024
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1300 W WARNER RD
Practice Address - Street 2:#2054
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85233-7024
Practice Address - Country:US
Practice Address - Phone:480-216-2454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist