Provider Demographics
NPI:1124343835
Name:BORER, RACHEL SHARON (DPT)
Entity type:Individual
Prefix:DR
First Name:RACHEL
Middle Name:SHARON
Last Name:BORER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:RACHEL
Other - Middle Name:SHARON
Other - Last Name:SNYDER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2 W 10TH ST
Mailing Address - Street 2:
Mailing Address - City:MARCUS HOOK
Mailing Address - State:PA
Mailing Address - Zip Code:19061-4513
Mailing Address - Country:US
Mailing Address - Phone:610-859-8850
Mailing Address - Fax:610-859-7876
Practice Address - Street 1:1331 E WYOMING AVE
Practice Address - Street 2:SUITE 4120
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19124-3808
Practice Address - Country:US
Practice Address - Phone:215-831-1170
Practice Address - Fax:215-744-7394
Is Sole Proprietor?:No
Enumeration Date:2010-04-06
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020245225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
306067OtherUNISON
PA3751549000OtherIBC
PA1024143780001Medicaid
PA30068071OtherKEYSTONE MERCY
PA2140193OtherHIGHMARK PABS
PA30068071OtherKEYSTONE MERCY