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Individual

SUMMER HAYES FIFE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MOTR/L

Contact information

Practice address
1069 OLD COLONY RD, PORT GIBSON, MS 39150-2545
(601) 529-9084
Mailing address
1069 OLD COLONY RD, PORT GIBSON, MS 39150-2545
(601) 529-9084

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2120
MS

Other

Enumeration date
08/09/2007
Last updated
03/01/2012
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