Misty Victoria Sumrall in Ridgeland - Occupational Therapy Assistant
Misty Victoria Sumrall - NPI 1104011683
Misty Victoria Sumrall is a Occupational Therapy Assistant in Ridgeland, Mississippi. Misty Victoria Sumrall practices all healthcare services and medical treatments related to Occupational Therapy Assistant. The NPI Number for Misty Victoria Sumrall is 1104011683. The last update date is 2007-09-07.
Misty Victoria Sumrall's current location address is 711 Avignon Dr, Ridgeland, Mississippi. You can contact this provider via phone number 6016056777 and fax number 6016058869. The mailing address for Misty Victoria Sumrall is 711 Avignon Dr, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Misty Victoria Sumrall |
|---|---|
| Address | 711 Avignon Dr, Ridgeland, Mississippi |
| Phone Number | 6016056777 |
| Fax Number | 6016058869 |
| Sole Proprietor | Y |
| Credentials | COTA/L |
NPI Number Detail
| NPI Number | 1104011683 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 711 Avignon Dr |
|---|---|
| City | Ridgeland |
| State | Mississippi (MS) |
| Post Code | 391575120 |
| Phone Number | 6016056777 |
| Fax Number | 6016058869 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapy Assistant |
|---|---|
| Taxonomy | 224Z00000X |
| Licence No | TA1995 |
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Definition: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed |
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What is the unique 10-digit identifier code assigned to Misty Victoria Sumrall by the Centers for Medicare & Medicaid Services?
The Misty Victoria Sumrall has been issued the NPI (National Provider Identifier) 1104011683 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Misty Victoria Sumrall is physically located?
The Misty Victoria Sumrall is situated at the following address: 711 Avignon Dr, Ridgeland, MS 391575120.
What is the Misty Victoria Sumrall's area of specialization and corresponding taxonomy classification?
The Misty Victoria Sumrall's specialty field is Occupational Therapy Assistant, and it falls under the taxonomy code 224Z00000X, which categorizes healthcare providers based on their specialties.
On what date was the 1104011683 assigned to Misty Victoria Sumrall?
The Misty Victoria Sumrall was issued its 1104011683 on 2007-09-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Misty Victoria Sumrall's information last updated?
The Misty Victoria Sumrall's information was last updated on 2007-09-07.
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