CARLOS T STANFORD

TUBA CITY, AZ
NPI1730234881
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: SC  1373)
Enumeration Date2007-01-25
Last Update Date2007-07-08
Business Address
-- CARLOS T STANFORD OT
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
Mailing Address
-- CARLOS T STANFORD OT
PO BOX 600 167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2501
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