Individual
BIANCA ROSE PETROCELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
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
OT23020
FL
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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