Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mick Phrakonekham, OC60942789

Individual provider Occupational Therapy Assistant · NPI 1356905038

Mick Phrakonekham, OC60942789 is an Occupational Therapy Assistant in Seattle, Washington. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2717 Dexter Ave N
Seattle, WA 98109-1914
Phone: (206) 284-7012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X

Record details

NPI number1356905038
Entity typeIndividual (Type 1)
GenderMale
Credentials OC60942789
Sole proprietorYes
NPI enumeratedApril 27, 2019
Last updated in NPPESApril 27, 2019

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