Individual
MRS. SUMMER MIMS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1792 MCFARLAND BLVD N, SUITE B, TUSCALOOSA, AL 35406-2185
(205) 342-2546
(205) 342-2540
Mailing address
1792 MCFARLAND BLVD N, SUITE B, TUSCALOOSA, AL 35406-2185
(205) 342-2546
(205) 342-2540
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA3671
AL
Other
Enumeration date
01/12/2006
Last updated
07/08/2007
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