Individual ProviderStephanie BordenPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5580 La Jolla Blvd # 47, La Jolla, CA 92037-7651(559) 977-6316PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Borden does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013735240Provider TypeIndividualFull NameBorden, StephanieCredentialDPTGenderFemaleSole ProprietorNoEnumeration Date9/27/2024Last Updated9/27/2024Contact InformationPractice LocationPractice Address5580 La Jolla Blvd # 47, La Jolla, CA 92037-7651Phone(559) 977-6316FaxUnlisted FaxMailing LocationMailing Address5580 La Jolla Blvd # 47, La Jolla, CA 92037-7651PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense291870California