Individual
CODY BIRELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6501 N SHERIDAN RD, PEORIA, IL 61614-2932
(309) 655-6961
Mailing address
2806 N KNOXVILLE AVE, PEORIA, IL 61604-2870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070026556
IL
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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