Provider Demographics
NPI:1225448103
Name:SUMMERS, ALISON MARIA (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ALISON
Middle Name:MARIA
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:MARIA
Other - Last Name:ANTOSY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:544 N PENRYN RD
Mailing Address - Street 2:
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-8562
Mailing Address - Country:US
Mailing Address - Phone:717-664-6284
Mailing Address - Fax:717-664-6382
Practice Address - Street 1:544 N PENRYN RD
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-8562
Practice Address - Country:US
Practice Address - Phone:717-664-6688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-01
Last Update Date:2014-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007339314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility