| NPI | 1679777619 | 
|---|---|
| Other Name | KATHY ANNETTE SUMMERS | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: AZ 6047A)  | 
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: AR PTA1340)  | 
| Enumeration Date | 2007-06-13 | 
| Last Update Date | 2007-07-08 |