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Individual

BRETT MICHAEL BIRKBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
13801 ST FRANCIS BLVD, MIDLOTHIAN, VA 23114-3206
(804) 320-4064
(804) 287-2786
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008060
VA
225X00000X
Occupational Therapist
08800
MD
225X00000X
Occupational Therapist
OT010001613
DC

Other

Enumeration date
09/28/2020
Last updated
07/01/2024
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