SANFORD MICHAEL YOUNG

SALEM, OR
NPI1770776122
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: OR  1025394)
Enumeration Date2007-08-20
Last Update Date2007-08-20
Business Address
Mr. SANFORD MICHAEL YOUNG COTA
4676 COMMERCIAL ST SE # A-29
SALEM, OR 97302-1902
Phone number: 503-399-0090
Mailing Address
Mr. SANFORD MICHAEL YOUNG COTA
4676 COMMERCIAL ST SE # A-29
SALEM, OR 97302-1902
Phone number: 503-399-0090