Provider Demographics
NPI:1851588719
Name:VAN BUREN, PAMELA MARIE (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:MARIE
Last Name:VAN BUREN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
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Mailing Address - Street 1:355 BRIARWOOD CIRCLE
Mailing Address - Street 2:UNIVERSITY OF MICHIGAN HEALTH SYSTEM BLDG #4
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-998-7911
Mailing Address - Fax:734-998-9429
Practice Address - Street 1:355 BRIARWOOD CIRCLE
Practice Address - Street 2:UNIVERSITY OF MICHIGAN HEALTH SYSTEM BLDG #4
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108
Practice Address - Country:US
Practice Address - Phone:734-998-7911
Practice Address - Fax:734-998-9429
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2007-09-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5201001289283X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes283X00000XHospitalsRehabilitation Hospital