Individual
ELISABETH ANNE BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2807 PEARL ST APT 147, NACOGDOCHES, TX 75965-3326
(913) 707-9241
Mailing address
2807 PEARL ST APT 147, NACOGDOCHES, TX 75965-3326
(913) 707-9241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/02/2021
Last updated
08/02/2021
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