Individual
MIKIAS HABTESELASSIE ALENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1919 112TH ST SW, EVERETT, WA 98204-3784
(425) 513-1600
Mailing address
600 N 85TH ST UNIT 206, SEATTLE, WA 98103-3868
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160794701
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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