Individual
COURTNEY R HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, OTD
Contact information
Practice address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
(248) 898-5000
Mailing address
3800 FLYING GULCH DR APT 5, HOLT, MI 48842-9587
(517) 402-6322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013167
MI
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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