Individual
PETER KIPLIN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-2360
(207) 351-2143
Mailing address
15 HOSPITAL DR, YORK, ME 03909-1011
(207) 351-2360
(207) 351-2143
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PA2443
ME
Other
Enumeration date
08/17/2007
Last updated
08/17/2007
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