Matthew Humphrey, OT | |
244 S Panorama, Hurricane, UT 84737-3288 | |
(435) 229-4259 | |
Not Available |
Full Name | Matthew Humphrey |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 244 S Panorama, Hurricane, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881293850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Unity Health & Wellness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1336786409 PECOS PAC ID: 1951711803 Enrollment ID: O20201103002856 |
Mailing Address | Practice Location Address |
---|---|
Matthew Humphrey, OT 244 S Panorama, Hurricane, UT 84737-3288 Ph: (435) 229-4259 | Matthew Humphrey, OT 244 S Panorama, Hurricane, UT 84737-3288 Ph: (435) 229-4259 |
Unity Health & Wellness Llc Occupational Therapist Medicare: Medicare Enrolled Practice Location: 244 S Panorama, Hurricane, UT 84737 Phone: 435-229-4259 | |
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