Doctor Name: | MR. KENDRICK DWAYNE SUMMERS |
NPI Number: | 1003196593 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT 26607 |
Business Practice Address: | 6251 Old Dominion Dr Mc Lean, VA - 221014827 |
Business Phone Number: | 7035364344 |
Business Fax Number: | |
Mailing Address: | 16241 Sw 18th St, MIRAMAR |
State: | FL |
Postal Code: | 330274457 |
Phone Number: | 9546683038 |
Fax Number: | |
NPI Enumeration Date: | 08/28/2011 |
NPI Last Update Date: | 08/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 26607 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |