Individual
KATHLEEN HUMPHERYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
518 S JACOB ST, GILBERT, AZ 85296-2306
(480) 283-5875
Mailing address
518 S JACOB ST, GILBERT, AZ 85296-2306
(480) 283-5875
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5095
AZ
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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