MISTY VICTORIA SUMRALL

RIDGELAND, MS
NPI1104011683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  TA1995)
Enumeration Date2007-09-07
Last Update Date2007-09-07
Business Address
Ms. MISTY VICTORIA SUMRALL COTA/L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
Ms. MISTY VICTORIA SUMRALL COTA/L
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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