Samantha Jo Bianchi, PTA
Physical Therapist in Cape Girardeau, MO. Individual provider (NPI-1).
NPI number1992526552
StatusActive
Last updated in NPPESOct 17, 2024
Details
- NPI
- 1992526552
- Entity type
- Individual (NPI-1)
- Name
- Samantha Jo Bianchi
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 17, 2024
- Last updated
- Oct 17, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2018037309 | MO | Yes |
Practice location
1405 North Mount Auburn RdCape Girardeau, MO 63701-2171
Phone 573-335-7868 · Fax 573-335-8193
Mailing address
1405 North Mount Auburn RdCape Girardeau, MO 63701-2171
Phone 573-335-7868 · Fax 573-335-8193
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