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Individual

MAKEDA FIKRE-SELASSIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12825 MINNIEVILLE RD STE 201, LAKE RIDGE, VA 22192-3602
(703) 647-3130
Mailing address
11961 CARDAMOM DR, WOODBRIDGE, VA 22192-1435
(240) 381-0853

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216833
VA
225100000X
Physical Therapist
29642
MD

Other

Enumeration date
04/25/2023
Last updated
09/08/2025
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