Individual
DENA MARIE HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2250 N CRAYCROFT RD, TUCSON, AZ 85712-2802
(520) 733-8700
Mailing address
1500 E PUSCH WILDERNESS DR UNIT 12107, ORO VALLEY, AZ 85737-6045
(347) 581-6616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-046714
AZ
Other
Enumeration date
03/12/2021
Last updated
03/16/2021
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