Individual
AMUTHA DESILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8000 EVERGREEN RIDGE DR, CINCINNATI, OH 45215-5750
(513) 679-9523
Mailing address
12062 KENN RD, CINCINNATI, OH 45240-1344
(513) 461-9094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT013493
OH
Other
Enumeration date
02/28/2012
Last updated
11/21/2018
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