Individual
JOHN HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2020 ADER RD, JEANNETTE, PA 15644-4500
(724) 537-5500
Mailing address
404 WASHINGTON ST, SALTSBURG, PA 15681-1136
(724) 702-0050
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE001799L
PA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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