Individual provider · Type 1 NPI

Misty Victoria Sumrall, COTA/L

Occupational Therapy Assistant · Ridgeland, MS

NPI number 1104011683 Active

Practice location

711 Avignon Dr
Ridgeland, MS 39157-5120

Call (601) 605-6777 Map

Fax (601) 605-8869

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XTA1995 (MS)

Occupational Therapy Assistant: 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 a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1104011683

Misty Victoria Sumrall, COTA/L's National Provider Identifier is 1104011683, issued on Sep 7, 2007. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Ridgeland, MS. The record was last updated on Sep 7, 2007.