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Individual

ELIZABETH ANN HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OC61206907

Contact information

Practice address
8726 DRESDEN LN SW, LAKEWOOD, WA 98498-4617
(253) 244-2414
Mailing address
8726 DRESDEN LN SW, LAKEWOOD, WA 98498-4617
(253) 244-2414

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
225X00000X
Occupational Therapist
OC61206907
WA

Other

Enumeration date
07/12/2023
Last updated
07/12/2023
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