KATHLEEN ELAINE HUMPHREY

BENTON, AR
NPI1477199586
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AR  4482)
Enumeration Date2019-11-24
Last Update Date2019-11-24
Business Address
KATHLEEN ELAINE HUMPHREY PTA
17706 INTERSTATE 30 N STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
Mailing Address
KATHLEEN ELAINE HUMPHREY PTA
17706 INTERSTATE 30 N STE 3
BENTON, AR 72019-2930
Phone number: 501-315-4414
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