Individual
MRS. CHELSEA ELIZABETH HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
250 NW 76TH DRIVE, GAINESVILLE, FL 32607
(352) 505-6363
Mailing address
120 CARRIAGE LAMP WAY, PONTE VEDRA BEACH, FL 32082
(904) 612-5167
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
114485
TX
225X00000X
Occupational Therapist
Primary
14833
FL
225X00000X
Occupational Therapist
4388
TN
Other
Enumeration date
06/11/2011
Last updated
06/07/2013
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