Individual
SUMMER RENEE' HOUCHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
629 GALLAHER RD, KINGSTON, TN 37763-4215
(865) 376-3416
(865) 376-3532
Mailing address
1324 LAWNVILLE RD, KINGSTON, TN 37763-4728
(865) 376-3416
(865) 376-3532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5851
TN
225XP0019X
Physical Rehabilitation Occupational Therapist
5851
TN
Other
Enumeration date
05/06/2019
Last updated
10/13/2023
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