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Individual

JOHN D BIANCHINI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

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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