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Individual

MARIE BIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
161 E PINE LAKE DR, TROY, MO 63379-3899
(573) 979-5121
Mailing address
161 E PINE LAKE DR, TROY, MO 63379-3899
(573) 979-5121

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01525
MO

Other

Enumeration date
10/07/2014
Last updated
10/07/2014
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