Individual
SUSAN A KRUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3263 BURNING TREE LANE, ATTICA, MI 48412
(810) 417-3598
Mailing address
3263 BURNING TREE LANE, ATTICA, MI 48412
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5202007193
MI
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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