Provider Demographics
NPI:1235273459
Name:POUNTNEY, SUMMER (DPT)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:
Last Name:POUNTNEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:SOMPLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7760 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92009-8553
Mailing Address - Country:US
Mailing Address - Phone:760-634-9750
Mailing Address - Fax:760-634-9752
Practice Address - Street 1:981 LOMAS SANTA FE DR STE A
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-2144
Practice Address - Country:US
Practice Address - Phone:858-794-9995
Practice Address - Fax:858-794-9962
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2009-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33522174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT33522OtherPT LICENSE