Provider Demographics
NPI:1790857282
Name:SCHAFFINO BORGES, REBECCA LEAH (RPT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:LEAH
Last Name:SCHAFFINO BORGES
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:LEAH
Other - Last Name:SCHAFFINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23 EXETER AVE
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06110-1212
Mailing Address - Country:US
Mailing Address - Phone:860-231-7561
Mailing Address - Fax:
Practice Address - Street 1:580 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-3050
Practice Address - Country:US
Practice Address - Phone:860-233-2222
Practice Address - Fax:860-233-0933
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007613225100000X
ALPTH11768225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist