Provider Demographics
NPI:1942569991
Name:BOROWSKI, BILL J (ATC; LAT; LPTA)
Entity Type:Individual
Prefix:MR
First Name:BILL
Middle Name:J
Last Name:BOROWSKI
Suffix:
Gender:M
Credentials:ATC; LAT; LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 OAKWAY CT
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-5115
Mailing Address - Country:US
Mailing Address - Phone:214-552-5224
Mailing Address - Fax:214-820-4516
Practice Address - Street 1:411 N WASHINGTON
Practice Address - Street 2:SUITE 4000
Practice Address - City:DALLAS TEXAS
Practice Address - State:TX
Practice Address - Zip Code:75246
Practice Address - Country:US
Practice Address - Phone:214-820-7868
Practice Address - Fax:214-820-4516
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-11
Last Update Date:2012-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAT2143174400000X
TX2038255283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No283X00000XHospitalsRehabilitation Hospital