SUMMER MARIAH KING DEASON

BRUNSWICK, GA
NPI1427264951
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: GA  OT003475)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: FL  OT10308)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
-- SUMMER MARIAH KING DEASON OTRL
2415 PARKWOOD DR
BRUNSWICK, GA 31520-4722
Phone number: 912-466-2610
Mailing Address
-- SUMMER MARIAH KING DEASON OTRL
503 FOX RUN CIRCLE
BRUNSWICK, GA 31525
Phone number: