Individual
SUSAN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
182 LAKE AVE, TRUMBULL, CT 06611-1847
(413) 210-0221
Mailing address
182 LAKE AVE, TRUMBULL, CT 06611-1847
(413) 210-0221
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11145202
CT
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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