Individual
TSEHAYE HABTESELASIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6451 N CHARLES ST, BALTIMORE, MD 21212-1010
(187) 740-7342
Mailing address
6002 CREST PARK DR, RIVERDALE, MD 20737-3525
(202) 704-3278
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07930
MD
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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