GRACE ANN HUMPHRIES

PULASKI, TN
NPI1972091635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TN  3042)
Enumeration Date2018-04-27
Last Update Date2018-04-28
Business Address
GRACE ANN HUMPHRIES COTA/L
933 E COLLEGE ST
PULASKI, TN 38478-4432
Phone number: 931-363-3572
Mailing Address
GRACE ANN HUMPHRIES COTA/L
2474 HINE ST S
ATHENS, AL 35611-5741
Phone number: 256-714-1678
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