Doctor Name: | SOPHIE BIRDWELL |
NPI Number: | 1043693799 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 1255736 |
Business Practice Address: | 200 Medical Pkwy Suite 260 Austin, TX - 787381791 |
Business Phone Number: | 5126551210 |
Business Fax Number: | |
Mailing Address: | 9707 Anderson Mill Rd 340, AUSTIN |
State: | TX |
Postal Code: | 787500018 |
Phone Number: | 5122585300 |
Fax Number: | 5122584475 |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 09/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1255736 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |