RYAN DAVID BIRICOCCHI

RUIDOSO, NM
NPI1063603827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NM  2325)
Enumeration Date2007-08-07
Last Update Date2007-08-07
Business Address
Mr. RYAN DAVID BIRICOCCHI MPT
147 MESCALERO TRL
RUIDOSO, NM 88345-6090
Phone number: 505-257-5820
Mailing Address
Mr. RYAN DAVID BIRICOCCHI MPT
3728 DRIFTWOOD AVE
ALAMOGORDO, NM 88310-8279
Phone number: 505-442-2548
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