Organization
BIANCHINI PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN D BIANCHINI DPT (MEMBER)
(203) 758-5040
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080007742CT06
ANTHEM BC BS
CT
Enumeration date
02/17/2009
Last updated
05/21/2013
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