Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Stacie Lynn Borrousch, MSPT

Individual provider Pediatric Physical Therapist · NPI 1700210846

Stacie Lynn Borrousch, MSPT is a Pediatric Physical Therapist in Avon, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2013
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Practice location Address checks out

1494 Laurel Oak Dr
Avon, IN 46123-9480
Phone: (317) 459-6784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 05008473A (IN)

Record details

NPI number1700210846
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSPT
Sole proprietorYes
NPI enumeratedAugust 26, 2013
Last updated in NPPESAugust 26, 2013

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