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1275170250
BIANCA RAE WAFFENSCHMIDT
NEW YORK, NY
NPI
1275170250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 045376)
Enumeration Date
2019-12-09
Last Update Date
2019-12-09
Business Address
BIANCA RAE WAFFENSCHMIDT DPT
462 1ST AVE
NEW YORK, NY 10016-9196
Phone number: 212-562-7059
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Mailing Address
BIANCA RAE WAFFENSCHMIDT DPT
87 BURROWS LN
BLAUVELT, NY 10913-1305
Phone number:
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