Individual
KRISTIN SUMLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
(334) 445-6363
Mailing address
193 SAM LISENBY RD, OZARK, AL 36360-3048
(334) 445-6336
(334) 445-6363
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH2098
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51501868
BCBS
AL
01
—
582492069
TRICARE
AL
05
—
890006600
—
AL
Enumeration date
02/12/2007
Last updated
02/26/2008
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