Individual
ASHLEY RAE CARTER-YAQUB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002323A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LXEAN3650029
ANTHEM
—
Enumeration date
02/27/2015
Last updated
02/27/2015
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