Individual
JENNA HUMBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 HOLCOMBE ST S, STILLWATER, MN 55082-5736
(651) 315-5096
Mailing address
1000 WALNUT ST, HASTINGS, MN 55033-2346
(651) 315-5096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MN
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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