Jenna Humbert

NPI #1194359380 in Stillwater, Minnesota

Provider Information

NPI Number: 1194359380
Entity Type: Individual
Name: Jenna Humbert
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 26, 2020
Last Updated: Feb 26, 2020

Practice Location

Address: 1111 HOLCOMBE ST S
City: Stillwater
State: Minnesota
ZIP Code: 55082-5736
Phone: (651) 315-5096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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