Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Corey Summerlin Roan, OTR/L

Individual provider Physical Rehabilitation Occupational Therapist · NPI 1730453747

Miss. Corey Summerlin Roan, OTR/L is a Physical Rehabilitation Occupational Therapist in San Diego, California. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2012
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5057 Frink Ave
San Diego, CA 92117-1212
Phone: (757) 288-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4142 Bonney Rd, Virginia Beach, VA 23452-1711 — (757) 340-0620

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X
Physical Rehabilitation Occupational Therapist Taxonomy 225XP0019X · Licence 0119005572 (VA)

Record details

NPI number1730453747
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 8, 2012
Last updated in NPPESJuly 21, 2022

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