Individual
MR. RYAN DAVID BIRICOCCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
147 MESCALERO TRL, RUIDOSO, NM 88345-6090
(505) 257-5820
(505) 257-9560
Mailing address
3728 DRIFTWOOD AVE, ALAMOGORDO, NM 88310-8279
(505) 442-2548
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2325
NM
Other
Enumeration date
08/07/2007
Last updated
08/07/2007
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