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Organization

BIRD PHYSICAL THERAPY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KEVIN BIRD MSPT (PHYSICAL THERAPIST)
(785) 331-0106
Entity
Organization

Contact information

Practice address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106
Mailing address
535 GATEWAY DR, LAWRENCE, KS 66049-2342
(785) 331-0106

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100316840-B
KS
Enumeration date
07/07/2005
Last updated
08/04/2008
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