Individual
BISRAT ABEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7130 MINSTREL WAY, COLUMBIA, MD 21045-5201
(410) 312-9922
Mailing address
10905 BASKERVILLE RD, REISTERSTOWN, MD 21136-6412
(301) 789-5130
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
R02041
MD
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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