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Stacie Lynn Borrousch, MSPT
Pediatric Physical Therapist in Avon, Indiana
NPI 1700210846

Stacie Lynn Borrousch is a Pediatric Physical Therapist based in Avon, IN and is specialized in Pediatrics. Stacie Lynn Borrousch practices in Avon, IN and has the professional credentials of MSPT. The NPI Number for Stacie Lynn Borrousch is 1700210846 and holds a License No. 05008473A (Indiana).

The current practice location address for Stacie Lynn Borrousch is 1494 Laurel Oak Dr, Avon, IN and can be reached out via phone at 317-459-6784. You can also correspond with Stacie Lynn Borrousch through the mailing address at 1494 LAUREL OAK DR, AVON, IN - 46123-9480 (mailing address contact number: 317-459-6784).

Location: 1494 Laurel Oak Dr, Avon, IN, 46123-9480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700210846
Provider Name
Stacie Lynn Borrousch
Credential
MSPT
Provider Entity Type
Individual
Gender
Female
Address
1494 Laurel Oak Dr, Avon, IN, 46123-9480
Phone Number
317-459-6784
Fax Number
Provider Enumeration Date
08/26/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1494 Laurel Oak Dr
City
Avon
State
Indiana
Zip
46123-9480
Phone Number
317-459-6784
Fax Number
person
Provider Business Mailing Address Details
Address
1494 Laurel Oak Dr
City
Avon
State
Indiana
Zip
46123-9480
Phone Number
317-459-6784
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
2251P0200X
License No.
05008473A (Indiana)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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