MICK PHRAKONEKHAM

SEATTLE, WA
NPI1356905038
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
Enumeration Date2019-04-27
Last Update Date2019-04-27
Business Address
MICK PHRAKONEKHAM OC60942789
2717 DEXTER AVE N
SEATTLE, WA 98109-1914
Phone number: 206-284-7012
Mailing Address
MICK PHRAKONEKHAM OC60942789
25117 SW PARKWAY AVE
WILSONVILLE, OR 97070-9697
Phone number:
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