Doctor Name: | CINDY SUMMERS |
NPI Number: | 1366718637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPTA |
License Number: | PTA 21716 |
Business Practice Address: | 2500 W Lake Mary Blvd Suite # 208 Lake Mary, FL - 327463501 |
Business Phone Number: | 4073236955 |
Business Fax Number: | 4073234564 |
Mailing Address: | 200 Maitland Ave, #200 ALTAMONTE SPRINGS |
State: | FL |
Postal Code: | 327015572 |
Phone Number: | 4072601297 |
Fax Number: | |
NPI Enumeration Date: | 03/30/2012 |
NPI Last Update Date: | 03/30/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PTA 21716 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |