Individual
DR. ITAYI ANN CHARASIKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, DPT
Contact information
Practice address
9201 RAINBOW SPRINGS CT APT 7, LOUISVILLE, KY 40241-2241
(502) 609-9916
Mailing address
9201 RAINBOW SPRINGS CT APT 7, LOUISVILLE, KY 40241-2241
(502) 609-9916
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A02970
KY
Other
Enumeration date
01/27/2014
Last updated
01/27/2014
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