Individual
NICOLE KAY SUMMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7251 W 20TH ST BLDG P2, GREELEY, CO 80634-4625
(970) 702-2507
Mailing address
4650 ROYAL VISTA CIR, WINDSOR, CO 80528-9321
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0005688
CO
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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