Individual
MRS. KIMBERLY C SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
186 ART CAMP LOOP, HEFLIN, LA 71039-3316
(318) 377-6539
Mailing address
186 ART CAMP LOOP, HEFLIN, LA 71039-3316
(318) 377-6539
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
Z10891
LA
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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