Individual
CHAD SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 MCCLENDON CHURCH RD, WEST MONROE, LA 71292-8052
(318) 410-8376
Mailing address
4109 HIGHWAY 98 W, SUMMIT, MS 39666-9132
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A8536R
LA
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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