Individual
MRS. AMANDA ANN SUMMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2797 TIFFANY ST, CONOVER, NC 28613-9116
(828) 465-7081
Mailing address
2797 TIFFANY ST, CONOVER, NC 28613-9116
(828) 465-7081
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3908
SC
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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