Individual
SUMMER THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
110 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-4112
Mailing address
110 PIONEER WAY, MAGEE, MS 39111-5501
(601) 849-4112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT3177
MS
Other
Enumeration date
07/28/2014
Last updated
03/07/2016
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