Bianca Rose Petrocelli, OTR/L | |
11230 Alligator Trl, Lake Worth, FL 33449-5849 | |
(732) 742-8918 | |
Not Available |
Full Name | Bianca Rose Petrocelli |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 11230 Alligator Trl, Lake Worth, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558007799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT23020 (Florida) | Primary |
Provider Name | Bianca Petrocelli Otrl, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1154108314 PECOS PAC ID: 0840646410 Enrollment ID: O20231102001942 |
Mailing Address | Practice Location Address |
---|---|
Bianca Rose Petrocelli, OTR/L 11230 Alligator Trl, Lake Worth, FL 33449-5849 Ph: (732) 742-8918 | Bianca Rose Petrocelli, OTR/L 11230 Alligator Trl, Lake Worth, FL 33449-5849 Ph: (732) 742-8918 |
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Bianca Petrocelli Otrl, Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 11230 Alligator Trl, Lake Worth, FL 33449 Phone: 732-742-8918 |