Individual
MRS. SUMMER BRILEY DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
300 HOSPITAL ST, MOULTON, AL 35650-1268
(256) 974-1146
Mailing address
2586 COUNTY ROAD 165, MOULTON, AL 35650
(256) 227-2817
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3897
AL
Other
Enumeration date
10/19/2016
Last updated
10/20/2016
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