Individual
EVAN HARLEY SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
1893 NE MIAMI GARDENS DR, NORTH MIAMI BEACH, FL 33179-5035
(305) 682-0080
Mailing address
20741 NE 19TH CT, NORTH MIAMI BEACH, FL 33179-2249
(305) 924-4991
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
24500
FL
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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