Individual
MRS. GAIL ANN HUMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
368 TIOGA AVENUE, KINGSTON, PA 18704
(570) 287-9681
Mailing address
368 TIOGA AVENUE, KINGSTON, PA 18704
(570) 287-9681
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC-001404-L
RI
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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