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SUMMER HAYES FIFE MOTR/L
>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1013108430
Individual Registrant: SUMMER HAYES FIFE MOTR/L
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1069 OLD COLONY RD PORT GIBSON, MS 39150-2545 US
Tel: 601-529-9084 Fax: --
Tel: 601-529-9084 Fax: --
Contact information for business:
1069 OLD COLONY RD PORT GIBSON, MS 39150-2545 US
Tel: 601-529-9084 Fax: --
Tel: 601-529-9084 Fax: --
Registration Information:
NPI: 1013108430
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | MS | OT2120 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
