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Individual

CORY MICHAEL BIRCKBICHLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
4203 STATE ROUTE 66, SUITE 102, APOLLO, PA 15613-1532
(724) 727-7915
(724) 727-3936
Mailing address
4203 STATE ROUTE 66, SUITE 102, APOLLO, PA 15613-1532
(724) 727-7915
(724) 727-3936

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT015964
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019666970001
PA
01
072904UY6
MEDICARE
PA
Enumeration date
04/05/2006
Last updated
08/07/2013
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