Individual
MRS. KRISTEN KAISER SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4710 CATTLE CREEK RD, BRANCHVILLE, SC 29432-5750
(803) 274-8443
Mailing address
4710 CATTLE CREEK RD, BRANCHVILLE, SC 29432-5750
(803) 274-8443
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1677
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1294
—
SC
Enumeration date
06/05/2007
Last updated
07/08/2007
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