Individual
JOHN D BIANCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
44 WATERBURY RD, STE. 1C, PROSPECT, CT 06712-1242
(203) 758-5040
(203) 758-5042
Mailing address
PO BOX 7205, PROSPECT, CT 06712-0205
(203) 758-5040
(203) 758-5042
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007742
CT
2251X0800X
Orthopedic Physical Therapist
5831
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007742CT01
ANTHEM BC BS
CT
01
—
080007742CT02
ANTHEM BC BS
CT
01
—
080007742CT06
ANTHEM BCBS
CT
Enumeration date
02/02/2006
Last updated
09/14/2009
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