Matthew Sumrall, COTA/L

NPI 1952794224 · on the registry since 2015 · sole proprietor

Practice

Address: 6520 Sunscope Dr
Ocean Springs, MS 39564
Phone: (228) 875-1177
Fax: (228) 872-4009
Organisation at this address: Encore Rehab
Clc Of Ocean Springs, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi