Basic Information
| Provider Information | |||||||||
| NPI: | 1134633290 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BORDEN | ||||||||
| FirstName: | EMILY | ||||||||
| MiddleName: | CLAIRE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 8630 E VIA DE VENTURA STE 201 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852583358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4805583744 | ||||||||
| FaxNumber: | 4805583801 | ||||||||
| Practice Location | |||||||||
| Address1: | 8630 E VIA DE VENTURA STE 201 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85258 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4805583744 | ||||||||
| FaxNumber: | 4805583801 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/28/2017 | ||||||||
| LastUpdateDate: | 01/03/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2255A2300X | AT.004546 | N | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer | 2255A2300X | ATR-008977 | AZ | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No ID Information.