Individual
JILL ERIN BIANCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1802 10TH ST, MANSON, IA 50563-7705
(712) 469-3533
Mailing address
1802 10TH ST, PO BOX 505, MANSON, IA 50563-7705
(712) 469-3533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00440
IA
Other
Enumeration date
05/28/2008
Last updated
05/28/2008
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