MEDICARE: ANNE BIANCHINO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT11579	FL

General Provider Information

NPI Number	:	1609209725
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNE BIANCHINO

Provider Business Mailing Address
First Line	:	3804 COVINGTON LN
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-2735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 SLEEPY HILL RD
Second Line	:
City	:	LAKELAND
State	:	FL
Zip	:	33810-3800
Country	:	US
Telephone Number	:	863-858-4402
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2013
Last Update Date	:	08/13/2013

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Directions to “ ANNE BIANCHINO ” Practice Location

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