Individual
MS. GINA L BIRMINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P T ASSISTANT
Contact information
Practice address
4206 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 582-0611
(361) 582-4978
Mailing address
4206 RETAMA CIR, VICTORIA, TX 77901-2765
(361) 582-0611
(361) 582-4978
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2035558
TX
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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