Individual
PHILIP JOSEPH BIANCO WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
22502 SAMBAR LOOP, CHUGIAK, AK 99567-5377
(907) 726-4663
Mailing address
PO BOX 672075, CHUGIAK, AK 99567-2075
(907) 726-4663
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
126066
AK
Other
Enumeration date
09/18/2017
Last updated
03/03/2021
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