Provider Demographics
NPI:1851302640
Name:HECHT-BORGFELD, SHERYL D (OT)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:D
Last Name:HECHT-BORGFELD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 TWIN LAKES DR
Mailing Address - Street 2:
Mailing Address - City:DOUBLE OAK
Mailing Address - State:TX
Mailing Address - Zip Code:75077-3013
Mailing Address - Country:US
Mailing Address - Phone:817-430-0632
Mailing Address - Fax:
Practice Address - Street 1:724 W MAIN ST
Practice Address - Street 2:SUITE 180
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75067-3514
Practice Address - Country:US
Practice Address - Phone:972-434-6024
Practice Address - Fax:972-434-2784
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2956225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8T2160OtherBLUE CROSS PROVIDER NUMBE
TX8B7472Medicare ID - Type Unspecified