Individual
SAMANTHA MARIE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 N NEWHALL ST, MILWAUKEE, WI 53211-3042
(920) 207-8330
Mailing address
3270 N NEWHALL ST, MILWAUKEE, WI 53211-3042
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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