Individual
ELIZABETH MARIE BIRRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
19733 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(240) 750-5698
Mailing address
14810 BLACK ANKLE RD, MOUNT AIRY, MD 21771-9114
(301) 829-3519
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15746
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10224468
AMERIGROUP
—
01
—
215501
MAMSI
—
01
—
6400731
UNITED HEALTHCARE
—
01
—
66740001
CAREFIRST
—
Enumeration date
09/19/2008
Last updated
09/19/2008
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