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Individual

MS. MICHAELA M BIANCARDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1595 S CALUMET RD STE 3, CHESTERTON, IN 46304-2389
(192) 764-4888
(219) 898-4258
Mailing address
6504 E 129TH AVE, CROWN POINT, IN 46307-9087
(219) 662-7654
(219) 662-2136

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007062A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000198740
ANTHEM
IN
01
12114004
CAQH
01
200642800
FIRST STEPS
IN
05
300034647
IN
Enumeration date
01/25/2007
Last updated
05/08/2025
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