Individual
AVERY SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1423 MAGNOLIA ST APT D, GULFPORT, MS 39507-3569
(228) 256-6015
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8083
MS
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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