TANIELLE SUMMERILL, PTA

Physical Therapy Assistant

Active Individual
NPI: 1447351564

Practice Address

2626 N WAUWATOSA AVE
Wauwatosa, WI 53213

Phone: (414) 774-7794

Specialties

Specialty Code Primary License
Physical Therapy Assistant 225200000X No PTA-300 (ID)

Frequently Asked Questions

NPI 1447351564 is the National Provider Identifier for TANIELLE SUMMERILL, PTA, a Physical Therapy Assistant provider located in Wauwatosa, WI. This NPI was enumerated on September 25, 2006.
TANIELLE SUMMERILL, PTA practices at 2626 N WAUWATOSA AVE, Wauwatosa, WI 53213.

Quick Facts

NPI
1447351564
Type
Individual
Enumerated
Sep 25, 2006
Last Updated
Jul 8, 2007

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