Individual
MS. DEBORAH HUMPL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
846 MALOON AVE, FRANKLIN SQUARE, NY 11010-3906
(215) 803-4558
Mailing address
846 MALOON AVENUE, FRANKLIN SQUARE, NY 11010
(215) 803-4558
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
015871
NY
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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