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Individual

MS. PAM SUE KRUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1211 STATELINE RD, NILES, MI 49120-4797
(269) 687-1599
Mailing address
1211 STATELINE RD, NILES, MI 49120-4797
(269) 687-1599

Taxonomy

Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
5201000053
MI

Other

Enumeration date
09/05/2018
Last updated
09/05/2018
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