Individual
CHRISTINE BISACCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
17321 MARION DR, LOWELL, IN 46356-2076
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004903A
IN
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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