Individual
JAYCE SUMMERLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12941 NORTH FWY, SUITE 401, HOUSTON, TX 77060-1240
(832) 253-1188
Mailing address
305 NE LOOP 820, BUSINESS TOWER 1, SUITE 200, HURST, TX 76053-7209
(817) 789-6849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212734
TX
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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