MICAH BENJAMIN O'BRIEN

MILWAUKIE, OR
NPI1568830511
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P160560447)
Enumeration Date2015-09-08
Last Update Date2015-09-08
Business Address
-- MICAH BENJAMIN O'BRIEN PTA
4560 SE INTERNATIONAL WAY
MILWAUKIE, OR 97222-4628
Phone number: 971-206-5202
Mailing Address
-- MICAH BENJAMIN O'BRIEN PTA
25829 185TH PL SE
COVINGTON, WA 98042-8446
Phone number: 206-354-7103
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