Provider Demographics
NPI:1841796851
Name:SUMMERS, DENA FAYE (COTA)
Entity Type:Individual
Prefix:
First Name:DENA
Middle Name:FAYE
Last Name:SUMMERS
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39301 INDIANAPOLIS RD
Mailing Address - Street 2:
Mailing Address - City:LANE
Mailing Address - State:KS
Mailing Address - Zip Code:66042-4141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 N PINE ST
Practice Address - Street 2:
Practice Address - City:GARNETT
Practice Address - State:KS
Practice Address - Zip Code:66032-1134
Practice Address - Country:US
Practice Address - Phone:785-448-2434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-30
Last Update Date:2018-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant