MS. Mary Ann Margaret Borkenhagen

NPI #1871159111 in Manteno, Illinois

Provider Information

NPI Number: 1871159111
Entity Type: Individual
Name: MS. Mary Ann Margaret Borkenhagen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Enumeration Date: May 13, 2019
Last Updated: May 13, 2019

Practice Location

Address: 3 DANI CT
City: Manteno
State: Illinois
ZIP Code: 60950-1608
Phone: (815) 690-6417

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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