KELSY MARIE BAKKEN

SALEM, OR
NPI1215116637
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  233451)
Enumeration Date2007-11-01
Last Update Date2007-11-01
Business Address
-- KELSY MARIE BAKKEN COTA
290 MOYER LN NW
SALEM, OR 97304-3822
Phone number: 503-370-8990
Mailing Address
-- KELSY MARIE BAKKEN COTA
8669 SW HOLLY ST #110
WILSONVILLE, OR 97070-8628
Phone number: 608-445-1166
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