Individual
LINDA A SUMMERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
697 WILLETT AVE, RIVERSIDE, RI 02915-2642
(401) 339-6560
(401) 247-0507
Mailing address
697 WILLETT AVE, RIVERSIDE, RI 02915-2642
(401) 339-6560
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00877
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00877
STATE LICENSE NUMBER
RI
Enumeration date
02/08/2007
Last updated
05/07/2010
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