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Individual
KYLE JACOB BIRELY
Active
Individual
KYLE JACOB BIRELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.027313
IL
225100000X
Physical Therapist
P22028
NC
Other
Enumeration date
03/31/2023
Last updated
03/31/2023
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