MICHAEL SCOTT WADSWORTH

SPRINGFIELD, OR
NPI1295823888
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225800000X Recreation Therapist
Enumeration Date2006-10-10
Last Update Date2007-07-08
Business Address
MICHAEL SCOTT WADSWORTH
622 S 57TH PL
SPRINGFIELD, OR 97478-5487
Phone number: 541-726-8076
Mailing Address
MICHAEL SCOTT WADSWORTH
622 S 57TH PL
SPRINGFIELD, OR 97478-5487
Phone number: 541-726-8076