NPI 1104011683

Misty Victoria Sumrall, COTAL

Practitioner Occupational Therapy Assistant Ridgeland, MS

Practice location

Address: 711 Avignon Dr, Ridgeland, MS 39157-5120
Phone: (601) 605-6777
Fax: (601) 605-8869

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence TA1995 (MS)

Other Occupational Therapy Assistant providers in Mississippi →

Registry record

NPI: 1104011683
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2007
Record last updated: 7 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.