Individual
LAURA BIANCIELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
274 SOUTH AVE, FANWOOD, NJ 07023-1347
(973) 771-1582
Mailing address
3 ROBIN CT, RARITAN, NJ 08869-1020
(908) 872-3390
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00856100
NJ
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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