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SUMMER HAYES FIFE MOTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1013108430

Individual Registrant:
 SUMMER HAYES FIFE MOTR/L
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: --

Contact information for business:
1069 OLD COLONY RD  PORT GIBSON, MS 39150-2545 US
Tel: 601-529-9084  Fax: --

Registration Information:
NPI: 1013108430
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
MSOT2120

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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