Individual
REBECCA LYNNE HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
188A MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 406-0576
Mailing address
188A MEDICAL DR, HANNIBAL, MO 63401-6877
(573) 406-0576
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009026067
MO
Other
Enumeration date
11/17/2009
Last updated
10/01/2012
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