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Individual

VASILIY BIRDSONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
869 SW LEMANS LN, LEES SUMMIT, MO 64082-4618
(816) 537-3181
Mailing address
PO BOX 320, BELTON, MO 64012-0320
(816) 331-9111

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2022024058
MO
225100000X
Physical Therapist
Primary
2022030860
MO

Other

Enumeration date
07/18/2023
Last updated
07/18/2023
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