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NPI Code Detail

MEDICARE: PETRINA BIRD

MEDICARE: PETRINA BIRD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1144661703
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETRINA BIRD
Provider Business Mailing Address
First Line : 2241 W WILLIAMS ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3652
Country : US
Telephone Number : 562-388-8180
Fax Number : 562-388-8178
Provider Business Practice Location Address
First Line : 2241 W WILLIAMS ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-3652
Country : US
Telephone Number : 562-388-8180
Fax Number : 562-388-8178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2013
Last Update Date : 07/11/2013

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Directions to “ PETRINA BIRD ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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