Provider Demographics
NPI:1538362579
Name:BORGGAARD, SHARON PUTNEY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:PUTNEY
Last Name:BORGGAARD
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:MS
Other - First Name:SHARON
Other - Middle Name:
Other - Last Name:PUTNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:PO BOX 39
Mailing Address - Street 2:25 MAZIES LA
Mailing Address - City:HOLDERNESS
Mailing Address - State:NH
Mailing Address - Zip Code:03245
Mailing Address - Country:US
Mailing Address - Phone:603-968-7986
Mailing Address - Fax:
Practice Address - Street 1:25 MAZIES LANE
Practice Address - Street 2:OFF BENNETT COVE LANE
Practice Address - City:HOLDERNESS
Practice Address - State:NH
Practice Address - Zip Code:03245-0039
Practice Address - Country:US
Practice Address - Phone:603-968-7986
Practice Address - Fax:603-968-7986
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1774225100000X
MA1586225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist