Individual
SUMMER POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
107 SUMMER LN, WEST MONROE, LA 71291-3501
(318) 396-1969
(318) 396-1970
Mailing address
PO BOX 1377, WEST MONROE, LA 71294-1377
(318) 396-1969
(318) 396-1970
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
Z12232
LA
Other
Enumeration date
11/04/2010
Last updated
04/01/2021
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