Individual
MRS. NONA CASSANDRA HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
2810 RULEME ST, EUSTIS, FL 32726-6527
(352) 357-1990
Mailing address
275 E CENTRAL PKWY APT 1117, ALTAMONTE SPRINGS, FL 32701-3430
(229) 225-6438
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
10050
FL
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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