Individual
BRENDA LEE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7629 W CATHEDRAL CANYON DR, TUCSON, AZ 85743-5144
(520) 623-7019
Mailing address
7629 W CATHEDRAL CANYON DR, TUCSON, AZ 85743-5144
(520) 623-7019
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01503
MD
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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