Basic Information
| Provider Information | |||||||||
| NPI: | 1225145469 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BIRZAK | ||||||||
| FirstName: | HELEN | ||||||||
| MiddleName: | MARIE | ||||||||
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| Credential: | P.T. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9562 FALLEN STONE | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210454325 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103129000 | ||||||||
| FaxNumber: | 4103129001 | ||||||||
| Practice Location | |||||||||
| Address1: | 6300 WOODSIDE CT STE 5 | ||||||||
| Address2: | |||||||||
| City: | COLUMBIA | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210463210 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103129000 | ||||||||
| FaxNumber: | 4103129001 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/24/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 14877 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.