Provider Demographics
NPI:1609995661
Name:CURTIS, PAMELA ROSE (PT)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:ROSE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2665 SHEFMAN TER
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-3441
Mailing Address - Country:US
Mailing Address - Phone:734-994-4581
Mailing Address - Fax:734-994-7141
Practice Address - Street 1:2665 SHEFMAN TER
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-3441
Practice Address - Country:US
Practice Address - Phone:734-994-4581
Practice Address - Fax:734-994-7141
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501001945225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist