Individual
MRS. MAHTSENTE WORKU EBRON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSHS OTRL
Contact information
Practice address
1004 PEONY CT, KNIGHTDALE, NC 27545-7051
(919) 539-8661
Mailing address
1004 PEONY CT, KNIGHTDALE, NC 27545-7051
(919) 539-8661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/04/2007
Last updated
07/08/2007
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