Individual
MS. DEBRA BISACCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
809 CROSSROADS PLZ SPC 20, FORT MILL, SC 29708-8016
(864) 233-5128
Mailing address
15803 SPARROWRIDGE CT, CHARLOTTE, NC 27878
(914) 844-8186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
018539-1
NY
225100000X
Physical Therapist
Primary
12928
SC
2251X0800X
Orthopedic Physical Therapist
018539-1
NY
Other
Enumeration date
05/17/2006
Last updated
03/04/2026
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