Individual
MS. CONNIE CRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2904 FOURTH AVE NE, PUYALLUP, WA 98372
(253) 848-4700
Mailing address
PO BOX 2170, SUMNER, WA 98390-0480
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00001747
WA
Other
Enumeration date
07/14/2006
Last updated
02/16/2011
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