Angela Dianne Humphries

NPI #1184107419 in Camden, Arkansas

Provider Information

NPI Number: 1184107419
Entity Type: Individual
Name: Angela Dianne Humphries
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Sep 12, 2018
Last Updated: Sep 12, 2018

Practice Location

Address: 638 CALIFORNIA AVE SW
City: Camden
State: Arkansas
ZIP Code: 71701-4604
Phone: (870) 836-1346

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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