Individual
CORY MICHAEL BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 S COLLEGE AVE, NEWARK, DE 19713-1302
(636) 696-3910
Mailing address
212 DYLAN LN, PHOENIXVILLE, PA 19460-4770
(636) 696-3910
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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