Provider Demographics
NPI:1639926694
Name:BORRELL, TAYLOR ELIZABETH (DPT)
Entity type:Individual
Prefix:
First Name:TAYLOR
Middle Name:ELIZABETH
Last Name:BORRELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 WILLOW WAY DR
Mailing Address - Street 2:
Mailing Address - City:ENOLA
Mailing Address - State:PA
Mailing Address - Zip Code:17025-2094
Mailing Address - Country:US
Mailing Address - Phone:717-979-2669
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 508
Practice Address - Street 2:
Practice Address - City:SUMMERDALE
Practice Address - State:PA
Practice Address - Zip Code:17093-0508
Practice Address - Country:US
Practice Address - Phone:717-512-8769
Practice Address - Fax:717-732-3798
Is Sole Proprietor?:No
Enumeration Date:2024-05-06
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist