Individual
BIANCA ALVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(800) 278-0332
Mailing address
613 7TH ST, LYNDHURST, NJ 07071-3112
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01454700
NJ
225100000X
Physical Therapist
PT022337
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40QA01454700
NJ BOARD OF PHYSICAL THERAPY
NJ
01
—
PT022337
PA STATE BOARD OF PHYSICAL THERAPY
PA
Enumeration date
09/27/2012
Last updated
09/27/2012
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