Individual
RENEE HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ITDS
Contact information
Practice address
140 N ORLANDO AVE STE 280, WINTER PARK, FL 32789-3639
(407) 539-2336
(407) 644-7967
Mailing address
5077 PARK CENTRAL DR, 1513, ORLANDO, FL 32839-5391
(407) 493-9438
(407) 644-7967
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
FL
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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