Individual
ADRIANNA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4695 N 74TH ST, MILWAUKEE, WI 53218-4750
(800) 330-7711
Mailing address
4695 N 74TH ST, MILWAUKEE, WI 53218-4750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006117
VA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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