Individual
ANGELA SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1133 W AIRPORT BLVD, SANFORD, FL 32773-4972
(407) 321-9570
(407) 321-9571
Mailing address
1133 W AIRPORT BLVD, SANFORD, FL 32773-4972
(407) 321-9570
(407) 321-9571
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA12739
FL
Other
Enumeration date
07/23/2014
Last updated
06/18/2015
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