MS. Misty Victoria Sumrall, COTA/L
NPI #1104011683 in Ridgeland, Mississippi
Provider Information
- NPI Number
- 1104011683
- Entity Type
- Individual
- Name
- MS. Misty Victoria Sumrall, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Sep 7, 2007
- Last Updated
- Sep 7, 2007
Practice Location
- Address
- 711 AVIGNON DR
- City
- Ridgeland
- State
- Mississippi
- ZIP Code
- 39157-5120
- Phone
- (601) 605-6777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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