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1407000110
KATHERINE ANNE HUMBERT
SOUTHLAKE, TX
NPI
1407000110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 002622)
Enumeration Date
2008-11-07
Last Update Date
2008-11-07
Business Address
-- KATHERINE ANNE HUMBERT otr
101 WATERMERE DRIVE
SOUTHLAKE, TX 76092
Phone number: 817-431-8668
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Mailing Address
-- KATHERINE ANNE HUMBERT otr
338 INVERNESS DR
TROPHY CLUB, TX 76262-9749
Phone number: 817-430-8059
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