MICHAEL ROY HUMPHREY

LAKE CITY, FL
NPI1821454117
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 26311)
Enumeration Date2016-01-03
Last Update Date2016-01-03
Business Address
-- MICHAEL ROY HUMPHREY PTA
1438 SW MAIN BLVD
LAKE CITY, FL 32025-1106
Phone number: 386-755-3164
Mailing Address
-- MICHAEL ROY HUMPHREY PTA
632 SW LEGION DR
LAKE CITY, FL 32024-4072
Phone number: 850-661-4113
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