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Individual

BIANCA DANIELLE TRIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
388 WESTCHESTER AVE STE 1A, PORT CHESTER, NY 10573-3623
(914) 939-6400
Mailing address
39 ALAN DR, MAHOPAC, NY 10541-3303
(914) 539-1090

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
047807-01
NY

Other

Enumeration date
09/27/2021
Last updated
09/30/2021
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