IndividualActive
Dylan Borruano, PTA
NPI 1760155683 · Physical Therapy Assistant · Addis, LA
Provider details
- NPI number
- 1760155683
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- A10910 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3923 Cypress Hall Dr
Addis, LA 70710-3014
Phone: (000) 000-0000
Approximate (ZIP-level) locationGet directions
Mailing address
3923 Cypress Hall Dr
Addis, LA 70710-3014
Registry dates
- Enumerated
- 2021-07-27
- Last updated
- 2021-07-27
- Certified
- 2021-07-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.