Individual
MRS. PAMELA MARIE SUMRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10 LAKE EDDINS 163821, PACHUTA, MS 39347-9731
(601) 727-3083
Mailing address
10 LAKE EDDINS 163821, PACHUTA, MS 39347-9731
(601) 727-3083
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0133
MS
Other
Enumeration date
11/09/2007
Last updated
11/09/2007
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