Summer Lyn Marcellus

NPI #1154888592 in Gulfport, Mississippi

Provider Information

NPI Number: 1154888592
Entity Type: Individual
Name: Summer Lyn Marcellus
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 21, 2019
Last Updated: Feb 21, 2019

Practice Location

Address: 12261 HIGHWAY 49 STE 1
City: Gulfport
State: Mississippi
ZIP Code: 39503-2976
Phone: (228) 265-7185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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