Individual
MRS. PAMELA SUE BIALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1024 LAKE SHORE DR, GLADSTONE, MI 49837-1539
(906) 428-3493
Mailing address
1024 LAKE SHORE DR, GLADSTONE, MI 49837-1539
(906) 428-3493
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201001365
STATE OF MICHIGAN DEPARTMENT OF COMMUNITY HEALTH BOARD OF OCCUPATIONAL THERAPIST
MI
Enumeration date
08/12/2009
Last updated
08/12/2009
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