Individual
KRISTIN HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5604A VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23462-5681
(757) 455-5000
Mailing address
1017 BOLLING AVE, UNIT 407, NORFOLK, VA 23508
(781) 249-4759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009776
VA
Other
Enumeration date
10/03/2023
Last updated
10/10/2023
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