Miss Corey Summerlin Roan, OTR/L - Occupational Therapist in San Diego, CA

Miss Corey Summerlin Roan, OTR/L is a Occupational Therapist - Pediatrics based in San Diego, California. Miss Corey Summerlin Roan is licensed to practice in * (Not Available) (license number ) and her current practice location is 5057 Frink Ave, San Diego, California. She can be reached at her office (for appointments etc.) via phone at (757) 288-9512.

NPI number for Miss Corey Summerlin Roan is 1730453747 and her current mailing address is 5057 Frink Ave, San Diego, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730453747.

Contact Information

Miss Corey Summerlin Roan, OTR/L
5057 Frink Ave,
San Diego, CA 92117-1212
(757) 288-9512
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMiss Corey Summerlin Roan
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location5057 Frink Ave, San Diego, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730453747
  • Provider Enumeration Date: 03/08/2012
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Miss Corey Summerlin Roan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730453747NPI-NPPES
0119005572OtherVALISCENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0019XOccupational Therapist - Physical Rehabilitation 0119005572 (Virginia)Secondary
225XP0200XOccupational Therapist - Pediatrics (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Miss Corey Summerlin Roan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Miss Corey Summerlin Roan, OTR/L
5057 Frink Ave,
San Diego, CA 92117-1212

Ph: (757) 288-9512
Miss Corey Summerlin Roan, OTR/L
5057 Frink Ave,
San Diego, CA 92117-1212

Ph: (757) 288-9512

Reviews and Comments


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