Bianca Petrocelli Otrl, Llc | |
11230 Alligator Trl, Lake Worth, FL 33449-5849 | |
(732) 742-8918 | |
Not Available |
Full Name | Bianca Petrocelli Otrl, Llc |
---|---|
Type | Facility |
Speciality | Occupational Therapist |
Location | 11230 Alligator Trl, Lake Worth, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154108314 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
Provider Name | Bianca R Petrocelli |
---|---|
Provider Type | Practitioner - Occupational Therapist In Private Practice |
Provider Identifiers | NPI Number: 1558007799 PECOS PAC ID: 0840670485 Enrollment ID: I20220629001505 |
Mailing Address | Practice Location Address |
---|---|
Bianca Petrocelli Otrl, Llc 11230 Alligator Trl, Lake Worth, FL 33449-5849 Ph: (732) 742-8918 | Bianca Petrocelli Otrl, Llc 11230 Alligator Trl, Lake Worth, FL 33449-5849 Ph: (732) 742-8918 |
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