Individual
MRS. PAMELA M CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
37031 MARIANO DR, STERLING HEIGHTS, MI 48312-2051
(248) 336-8999
(248) 565-2029
Mailing address
37031 MARIANO DRIVE, STERLING HEIGHTS, MI 48312
(248) 336-8999
(248) 565-2029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201000625
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71020000E01582
BCBS PROVIDER NO
MI
Enumeration date
04/11/2007
Last updated
07/08/2007
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