Individual
CAROL BASHFORD-KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 RIVERSIDE AVE, ADRIAN, MI 49221
(517) 266-1700
Mailing address
41 RIDGEMONT DR, ADRIAN, MI 49221-8337
(517) 424-7078
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007971
MI
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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