Ellen Humphrey, P.T.

NPI #1114256997 in Lake Bluff, Illinois

Provider Information

NPI Number: 1114256997
Entity Type: Individual
Name: Ellen Humphrey, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Dec 8, 2009
Last Updated: Feb 14, 2018

Practice Location

Address: 101 WAUKEGAN RD STE 1100
City: Lake Bluff
State: Illinois
ZIP Code: 60044-3012
Phone: (847) 247-2402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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