MRS. Summer Henry Moore, COTA/L
NPI #1457132102 in Union, Mississippi
Provider Information
- NPI Number
- 1457132102
- Entity Type
- Individual
- Name
- MRS. Summer Henry Moore, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Oct 9, 2023
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 101 KIRKLAND ST
- City
- Union
- State
- Mississippi
- ZIP Code
- 39365-3205
- Phone
- (601) 774-8233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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