Provider Demographics
NPI:1679967574
Name:BOROSKI, CHELSIE
Entity type:Individual
Prefix:MS
First Name:CHELSIE
Middle Name:
Last Name:BOROSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43429 INTERLAKEN DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48313-2371
Mailing Address - Country:US
Mailing Address - Phone:586-484-3498
Mailing Address - Fax:
Practice Address - Street 1:171 PLYMOUTH ST
Practice Address - Street 2:APT 1 WEST
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-2991
Practice Address - Country:US
Practice Address - Phone:586-484-3498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer