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1619743226
MATTHEW HUMPHRIES
WOODBURY, MN
NPI
1619743226
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MN 106498)
Enumeration Date
2023-11-27
Last Update Date
2023-11-27
Business Address
MATTHEW HUMPHRIES MSOTR/L
1925 WOODWINDS DR
WOODBURY, MN 55125-4445
Phone number: 651-232-0100
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Mailing Address
MATTHEW HUMPHRIES MSOTR/L
6089 FALCON RIDGE TRL
APPLE VALLEY, MN 55124-5720
Phone number: 763-234-2512
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