Individual
KOURTNEY MONSHAE HUMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 FULTON ST, RAEFORD, NC 28376-1926
(910) 875-4280
Mailing address
655 S WILLOW ST STE 128, MANCHESTER, NH 03103-5723
(800) 995-2673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
122782
TX
225X00000X
Occupational Therapist
Primary
16607
NC
225X00000X
Occupational Therapist
5883
AL
225X00000X
Occupational Therapist
7770
TN
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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