Individual
TRICIA SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
920 W IVY AVE, MOSES LAKE, WA 98837-2047
(509) 766-2670
Mailing address
1318 W IVY AVE, MOSES LAKE, WA 98837-2065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004491
WA
Other
Enumeration date
03/11/2013
Last updated
03/11/2013
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