Individual
OLIVIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 COLUMBUS RD, CENTERBURG, OH 43011-9401
(740) 625-5401
Mailing address
4531 COLUMBUS RD, CENTERBURG, OH 43011-9401
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10019
OH
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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