Individual
ASHA SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 FELDON DR, CRESTVIEW, FL 32536-9281
(850) 758-5400
Mailing address
310 FELDON DR, CRESTVIEW, FL 32536-9281
(850) 758-5400
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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