MIKIAS HABTESELASSIE ALENE

EVERETT, WA
NPI1891438248
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence:   P160794701)
Enumeration Date2022-04-14
Last Update Date2022-04-14
Business Address
MIKIAS HABTESELASSIE ALENE
1919 112TH ST SW
EVERETT, WA 98204-3784
Phone number: 425-513-1600
Mailing Address
MIKIAS HABTESELASSIE ALENE
600 N 85TH ST UNIT 206
SEATTLE, WA 98103-3868
Phone number: