Individual
BIANNA KOUTSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1200 S CEDAR CREST BLVD, ALLENTOWN, PA 18103-6202
(484) 862-3200
Mailing address
2407 CROSS CREEK RD, MACUNGIE, PA 18062-9541
(917) 293-4104
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
OT024385
PA
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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