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Individual

DR. JACQUELINE BIRR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1625 MEDICAL CENTER PT STE 180, COLORADO SPRINGS, CO 80907-5798
(719) 344-9497
(719) 358-6042
Mailing address
4003 N WEBER ST UNIT I, COLORADO SPRINGS, CO 80907-4430

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15185
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
15185
LICENES
CO
Enumeration date
09/13/2017
Last updated
03/02/2022
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