Individual
ALICIA BIRSCHBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54937-2999
(920) 907-7270
Mailing address
N3932 HICKORY RD, FOND DU LAC, WI 54937-9119
(920) 979-3134
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2634
WI
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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