Individual
KAREN BIRDSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
16835 N PARK PL STE 4, GLENDALE, AZ 85306-1525
(602) 938-2422
(602) 938-2565
Mailing address
PO BOX 10837, GLENDALE, AZ 85318-0837
(602) 989-0408
(602) 938-2565
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1143
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143
AZ LICENSE
AZ
Enumeration date
07/10/2017
Last updated
07/10/2017
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