Individual
MR. SAM ADIKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4120 WOODED ACRE LN, LOUISVILLE, KY 40245-2938
(502) 243-1643
Mailing address
7201 NEWBURGH RD, EVANSVILLE, IN 47715-4452
(812) 456-8094
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
29785
FL
225200000X
Physical Therapy Assistant
Primary
A03721
KY
Other
Enumeration date
10/15/2017
Last updated
06/25/2021
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