Provider Demographics
NPI:1013792225
Name:DEBBIE L BIONDO LLC
Entity type:Organization
Organization Name:DEBBIE L BIONDO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BIONDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-485-2319
Mailing Address - Street 1:3653 N TUSCANY CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-1869
Mailing Address - Country:US
Mailing Address - Phone:636-485-2319
Mailing Address - Fax:
Practice Address - Street 1:3653 N TUSCANY CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-1869
Practice Address - Country:US
Practice Address - Phone:636-485-2319
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty