Ms Gwenda Ann Humpherys, OTR/L is a
Occupational Therapist based in Crestline, California. Ms Gwenda Ann Humpherys is licensed to practice in * (Not Available) (license number AA069575) and her current practice location is
448 Wylerhorn Dr, Crestline, California. She can be reached at her office (for appointments etc.) via phone at
(858) 216-5661.
NPI number for Ms Gwenda Ann Humpherys is 1134578388 and her current mailing address is Po Box 1426, Crestline, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134578388.
Healthcare Provider's Profile
| Full Name | Ms Gwenda Ann Humpherys |
|---|
| Gender | Female |
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| Speciality | Occupational Therapist |
|---|
| Location | 448 Wylerhorn Dr, Crestline, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1134578388
- Provider Enumeration Date: 06/08/2016
- Last Update Date: 06/08/2016
Medical Identifiers
Medical identifiers for Ms Gwenda Ann Humpherys such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134578388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | AA069575 (* (Not Available)) | Primary |
| 225X00000X | Occupational Therapist | 1372 (California) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Gwenda Ann Humpherys is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Gwenda Ann Humpherys, OTR/L
Po Box 1426,
Crestline, CA 92325-1426
Ph: (858) 216-5661 | Ms Gwenda Ann Humpherys, OTR/L
448 Wylerhorn Dr,
Crestline, CA 92325-1426
Ph: (858) 216-5661 |
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