Individual
MS. JEANETTE ELIZABETH HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
200 S MEADE ST, LITTLE FLOWER MANOR REHABILITATION DEPT., WILKES BARRE, PA 18702-6221
(570) 823-6131
Mailing address
3086 CORONET CT., SPRING HILL, FL 34609
(570) 696-1372
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC010488
PA
Other
Enumeration date
07/15/2008
Last updated
12/04/2009
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