Individual
PROF. JOSHUA CHASE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
1201 1ST AVE, MENDOTA, IL 61342-1815
(815) 539-6745
Mailing address
17370 TIMBER DR, STERLING, IL 61081-9281
(815) 440-4596
(225) 791-0095
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.012055
IL
225X00000X
Occupational Therapist
Primary
OTT.200092
LA
Other
Enumeration date
08/05/2007
Last updated
05/16/2025
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