Organization
BIANCA PETROCELLI OTRL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIANCA PETROCELLI OTR/L (OWNER)
(732) 742-8918
Entity
Organization
Contact information
Practice address
11230 ALLIGATOR TRL, LAKE WORTH, FL 33449-5849
(732) 742-8918
Mailing address
11230 ALLIGATOR TRL, LAKE WORTH, FL 33449-5849
(732) 742-8918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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