Prof Joshua Chase Humphrey, OTR | |
1201 1st Ave, Mendota, IL 61342-1815 | |
(815) 539-6745 | |
Not Available |
Full Name | Prof Joshua Chase Humphrey |
---|---|
Gender | Male |
Speciality | Occupational Therapist |
Location | 1201 1st Ave, Mendota, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326239492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056.012055 (Illinois) | Secondary |
225X00000X | Occupational Therapist | OTT.200092 (Louisiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Prof Joshua Chase Humphrey, OTR 17370 Timber Dr, Sterling, IL 61081-9281 Ph: (815) 440-4596 | Prof Joshua Chase Humphrey, OTR 1201 1st Ave, Mendota, IL 61342-1815 Ph: (815) 539-6745 |
Ashlee Hoff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1401 E 12th St, Mendota, IL 61342 Phone: 815-539-1409 | |
Malorie Defore, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1205 Indiana Ave, Mendota, IL 61342 Phone: 815-414-1136 |