Individual
JAIME L SUMMERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 LOGAN LN SW, HARTSELLE, AL 35640-3740
(256) 221-1342
Mailing address
500 LOGAN LN SW, HARTSELLE, AL 35640-3740
(256) 221-1342
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3229
AL
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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