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Individual

AMY FANNING HUMPHREY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
7500 CHALLIS ROAD, BRIGHTON, MI 46116
(810) 263-4000
Mailing address
4565 FILBERT DR, BRIGHTON, MI 48116-3703
(614) 657-3114

Taxonomy

Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
5501017764
MI

Other

Enumeration date
07/24/2012
Last updated
10/22/2018
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