Individual
KRISTEN ASHLEY BIANCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
143 E 2ND ST, ERIE, PA 16507-1501
(814) 878-1200
Mailing address
201 STATE ST, ERIE, PA 16550-8506
(412) 862-7931
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015312
PA
225X00000X
Occupational Therapist
OT010022
OH
Other
Enumeration date
12/27/2017
Last updated
03/30/2021
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