Kimberly C Sumner, LOTR
Individual provider Active NPI Pediatric Occupational Therapist · Heflin, LA
NPI 1972736668 · NPPES record last updated Aug 27, 2009
Key facts
- NPI
- 1972736668
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- Z10891 (LA)
- Practice address
- 186 Art Camp Loop
Heflin, LA 71039-3316 - Phone
- (318) 377-6539
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| Z10891 | LA | MD | Pediatric Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | Z10891 | LA | Yes |
Addresses
Primary practice location
186 Art Camp Loop
Heflin, LA 71039-3316
Mailing address
186 Art Camp Loop
Heflin, LA 71039-3316
Phone (318) 377-6539
Other providers in Heflin, LA
- A to Z Therapy Solutions
- Humanity & Health Outreach, LLC
- Amy Katina Kyles
- Sharolyn Montgomery
- Jonathan David Wallace
- Kelly H Warren
All providers in Heflin, LA · Pediatric Occupational Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.