Individual
LEAH HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
115 TEMPLE ST, OWEGO, NY 13827-1420
(607) 687-3800
Mailing address
115 TEMPLE ST, OWEGO, NY 13827-1420
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
012709
NY
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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