SCOTT DEWAYNE GOTHARD

KALAMAZOO, MI
NPI1548535792
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MI  5201008224)
Enumeration Date2012-03-20
Last Update Date2012-03-20
Business Address
-- SCOTT DEWAYNE GOTHARD OTR/L
6376 QUAIL RUN DR
KALAMAZOO, MI 49009-2811
Phone number: 269-544-3764
Mailing Address
-- SCOTT DEWAYNE GOTHARD OTR/L
6376 QUAIL RUN DR
KALAMAZOO, MI 49009-2811
Phone number: 269-544-3764