Individual
YASHAR CHRIS FOULADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8493 FAIRBANKS ST, CROWN POINT, IN 46307-4959
(219) 808-9117
Mailing address
8493 FAIRBANKS ST, CROWN POINT, IN 46307-4959
(219) 808-9117
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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