Individual
MISS KATHRYN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Mailing address
1380 RIVER BEND DR, DALLAS, TX 75247-4914
(214) 743-6159
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115660
TX
Other
Enumeration date
10/22/2013
Last updated
10/22/2013
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