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Individual

MR. RYAN BIRCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
754 N COLLEGE RD STE D, TWIN FALLS, ID 83301-5822
(208) 734-5313
Mailing address
754 N COLLEGE RD STE D, TWIN FALLS, ID 83301-5822

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5206
ID

Other

Enumeration date
05/26/2017
Last updated
05/26/2017
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