Individual
MRS. KRISTINA LYNN SUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20910 STATE ROUTE 410 E, BONNEY LAKE, WA 98391-6302
(253) 862-2575
Mailing address
4625 210TH ST E, SPANAWAY, WA 98387-6764
(253) 335-9573
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61151248
WA
Other
Enumeration date
12/14/2021
Last updated
12/19/2021
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