Individual
FIYORELA TESSEMA DEGEFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8811 176TH ST E, PUYALLUP, WA 98375-9724
(253) 455-1300
Mailing address
7035 S 133RD ST UNIT B301, SEATTLE, WA 98178-5040
(206) 694-3716
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60894275
WA
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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