Individual
ALLISON BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4990 TULIP GROVE RD, GREEN SEA, SC 29545-4977
(843) 392-3131
Mailing address
4990 TULIP GROVE RD, GREEN SEA, SC 29545-4977
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000013482
—
Other
Enumeration date
06/05/2013
Last updated
01/29/2016
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