Individual
BROOKE ANN SUMERIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
508 RANDOM LN, GAYLORD, MI 49735-9304
(989) 732-3508
(989) 731-5260
Mailing address
2182 VANYEA RD, CHEBOYGAN, MI 49721-8903
(989) 255-2790
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
5201010898
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010898
STATE LISCENSE
MI
Enumeration date
05/19/2020
Last updated
05/19/2020
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