LYDELL HUMPHREY

JACKSONVILLE, FL
NPI1215076757
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  PT 23096)
Enumeration Date2007-02-05
Last Update Date2007-07-08
Business Address
-- LYDELL HUMPHREY M.P.T.
1268 EDGEWOOD AVE W STE 5
JACKSONVILLE, FL 32208-2700
Phone number: 904-764-0022
Mailing Address
-- LYDELL HUMPHREY M.P.T.
432 LA PAZ PL
ORANGE PARK, FL 32073-3407
Phone number: 904-718-7449
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