Individual
EMILY K BIRENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2894
(920) 337-1122
(920) 337-1126
Mailing address
2801 S WEBSTER AVE, GREEN BAY, WI 54301-2894
(920) 337-1122
(920) 337-1126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548216484
—
WI
Enumeration date
06/28/2021
Last updated
02/03/2023
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