TRAVIS L SUMMERVILLE

LAKE ORION, MI
NPI1629226139
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MI  5501008389)
Enumeration Date2008-09-09
Last Update Date2018-08-01
Business Address
TRAVIS L SUMMERVILLE M.P.T.
1298 WALLOON WAY
LAKE ORION, MI 48360
Phone number: 248-891-0388
Mailing Address
TRAVIS L SUMMERVILLE M.P.T.
900 AUBURN AVE
PONTIAC, MI 48342-3300
Phone number: 248-332-8600