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Individual

KATHERINE ANNE HUMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
101 WATERMERE DRIVE, SOUTHLAKE, TX 76092
(817) 431-8668
(817) 337-7622
Mailing address
338 INVERNESS DR, TROPHY CLUB, TX 76262-9749
(817) 430-8059

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002622
TX

Other

Enumeration date
11/07/2008
Last updated
11/07/2008
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