Dr. Clyde Summers Jr., PT, DPT
Physical Therapist in Gilbert, AZ. Individual provider (NPI-1).
NPI number1619707551
StatusActive
Last updated in NPPESAug 11, 2024
Details
- NPI
- 1619707551
- Entity type
- Individual (NPI-1)
- Name
- Dr. Clyde Summers Jr.
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 6, 2024
- Certification date
- Aug 11, 2024
- Last updated
- Aug 11, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | LPT-033724 | AZ | Yes |
Practice location
885 E Warner RdGilbert, AZ 85296-3075
Phone 480-681-6400
Mailing address
515 W Lexington StVail, AZ 85641-0885
Phone 321-439-9585
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