Individual
SUMMER LYN MARCELLUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12261 HIGHWAY 49 STE 1, GULFPORT, MS 39503-2976
(228) 265-7185
(833) 219-5405
Mailing address
322 CLEVELAND AVE, OCEAN SPRINGS, MS 39564-4506
(228) 348-0853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3621
MS
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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