Doctor Name: | PHYLLIS BIRD |
NPI Number: | 1306118286 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR |
License Number: | 02568 |
Business Practice Address: | 505 Old Westminster Pike Westminster, MD - 211576279 |
Business Phone Number: | 4108712990 |
Business Fax Number: | 4108712990 |
Mailing Address: | 505 Old Westminster Pike, WESTMINSTER |
State: | MD |
Postal Code: | 211576279 |
Phone Number: | 4108712990 |
Fax Number: | 4108712990 |
NPI Enumeration Date: | 02/07/2012 |
NPI Last Update Date: | 03/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 02568 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |