Individual
KAYLA MICHELLE SUMMERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8718 PACKARD AVE NE, OTSEGO, MN 55330-4507
(218) 831-8219
Mailing address
8718 PACKARD AVE NE, OTSEGO, MN 55330-4507
(218) 831-8219
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201786
MN
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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