Individual
CRYSTAL SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5522 SW 34TH AVE, AMARILLO, TX 79109-4104
(806) 231-9134
Mailing address
5522 SW 34TH AVE, AMARILLO, TX 79109-4104
(806) 231-9134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
211979
TX
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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