Most Relevant Information
Provider Data
| NPI Number: | 1003832213 |
| Provider Name: | CONNIE CRUM OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT00001747 |
Most Important Dates
| Enumeration Date: | 07/14/2006 |
| Last Updated: | 02/16/2011 |
Provider Practice Location
2904 FOURTH AVE NE
PUYALLUP
WA
98372
Practice Location Phone/Fax
| Phone: | 2538484700 |
| Fax: |
Provider Mailing Location
PO BOX 2170
SUMNER
WA
983900480
Provider Mailing Phone/Fax
| Phone: | 2538402313 |
| Fax: | 2538406340 |