BENJAMIN KELSO

MEDFORD, OR
NPI1093259152
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  368677)
Enumeration Date2016-12-08
Last Update Date2016-12-08
Business Address
-- BENJAMIN KELSO
1200 MIRA MAR AVE STE 1
MEDFORD, OR 97504-8588
Phone number: 800-848-7868
Mailing Address
-- BENJAMIN KELSO
4560 SE INTERNATIONAL WAY STE 100
MILWAUKIE, OR 97222-4628
Phone number:
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