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TERESA HUMBERT DOCTOR OF OT

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1669794244

Individual Registrant:
 TERESA  HUMBERT DOCTOR OF OT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
400 INTERNATIONAL PKWY SUITE 300 LAKE MARY, FL 32746-5061 US
Tel: 407-833-8815  Fax: --

Contact information for business:
121 9TH ST W  HASTINGS, MN 55033-2020 US
Tel: 651-249-1983  Fax: --

Registration Information:
NPI: 1669794244
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
WI4854026

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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