Individual
ELIZABETH SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
107 LONGWOOD AVE, ROCKLEDGE, FL 32955-2827
(321) 338-2419
Mailing address
2810 PEMBROKE RD, MELBOURNE, FL 32935-2439
(321) 614-4420
(321) 614-4420
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA20086
FL
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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