Provider Demographics
NPI:1306104773
Name:BORDEN, CHERYL F (PT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:F
Last Name:BORDEN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:SUE
Other - Last Name:FARTHING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:5629 MONARCH BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27539-5749
Mailing Address - Country:US
Mailing Address - Phone:919-363-8773
Mailing Address - Fax:
Practice Address - Street 1:4216 BARTLET GLEN LN
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28306-9357
Practice Address - Country:US
Practice Address - Phone:910-868-6000
Practice Address - Fax:866-475-8361
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP103292251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics