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Individual

KIARA F TASAYCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2950 TURKEYFOOT RD, EDGEWOOD, KY 41017-5400
(859) 359-7498
Mailing address
4252 ASHGROVE CT, INDEPENDENCE, KY 41051-9164

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
269494
KY

Other

Enumeration date
04/13/2021
Last updated
04/13/2021
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