JACOB R BIRDSALL

APPLETON, WI
NPI1205350865
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WI  13915-24)
Enumeration Date2017-07-26
Last Update Date2023-04-27
Business Address
JACOB R BIRDSALL D-PT
2809 N PARK DRIVE LN
APPLETON, WI 54911-1603
Phone number: 920-830-4999
Mailing Address
JACOB R BIRDSALL D-PT
2809 N PARK DRIVE LN
APPLETON, WI 54911-1603
Phone number: 920-380-4999
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