Shanna Humphrey, OT/CLT

NPI #1801496963 in Bend, Oregon

Provider Information

NPI Number: 1801496963
Entity Type: Individual
Name: Shanna Humphrey, OT/CLT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT/CLT
Enumeration Date: Oct 28, 2020
Last Updated: Oct 28, 2020

Practice Location

Address: 2041 NE WILLIAMSON CT STE B
City: Bend
State: Oregon
ZIP Code: 97701-3941
Phone: (541) 633-7535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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