Healthcare Provider Details

I. General information

NPI: 1235372830
Provider Name (Legal Business Name): RITA DAL BIANCO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 02/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8708 SILVERHILL LN
AUSTIN TX
78759-7417
US

IV. Provider business mailing address

8708 SILVERHILL LN
AUSTIN TX
78759-7417
US

V. Phone/Fax

Practice location:
  • Phone: 512-565-2862
  • Fax: 512-342-1026
Mailing address:
  • Phone: 512-565-2862
  • Fax: 512-342-1026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251G0304X
TaxonomyGeriatric Physical Therapist
License Number1075596
License Number StateTX

VIII. Authorized Official

Name: MISS RITA H DAL, BIANCO
Title or Position: LICENCED PHISICAL THERAPIST/CEO
Credential: LPT
Phone: 512-565-2862