Individual
KARISSA SLATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5816 HARTFORD LN, CHARLESTOWN, IN 47111-9068
(317) 372-3152
Mailing address
5816 HARTFORD LN, CHARLESTOWN, IN 47111-9068
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05012579A
IN
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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