Individual
MICHAEL VIRATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
12121 HARBOUR REACH DR STE 100, MUKILTEO, WA 98275-5314
(425) 493-8313
Mailing address
18126 36TH AVE W APT L5, LYNNWOOD, WA 98037-3893
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P161144585
WA
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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