Individual
SARA BIRDSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4153 KNOLLGLEN WAY, SAN JOSE, CA 95118-1834
(408) 313-7153
Mailing address
4153 KNOLLGLEN WAY, SAN JOSE, CA 95118-1834
(408) 313-7153
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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