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Mrs. Lori Ouellette Humphreys, PT
Specialist in San Jose, California
NPI 1982856969

Lori Ouellette Humphreys is a Specialist based in San Jose, CA. Lori Ouellette Humphreys practices in San Jose, CA and has the professional credentials of PT. The NPI Number for Lori Ouellette Humphreys is 1982856969 and holds a License No. 18218 (California).

The current practice location address for Lori Ouellette Humphreys is 841 Blossom Hill Road, San Jose, CA and can be reached out via phone at 408-365-8400.

Location: 841 Blossom Hill Road, San Jose, CA, 95120-2224
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982856969
Provider Name
Lori Ouellette Humphreys
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
841 Blossom Hill Road, San Jose, CA, 95120-2224
Phone Number
408-365-8400
Fax Number
Provider Enumeration Date
10/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
18218 01 CA PHYSICAL THERAPY LICENSE
institution
Provider Business Practice Location Address Details
Address
841 Blossom Hill Road
City
San Jose
State
California
Zip
95123
Phone Number
408-365-8400
Fax Number
person
Provider Business Mailing Address Details
Address
841 Blossom Hill Road
City
San Jose
State
California
Zip
95123
Phone Number
408-365-8400
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
18218 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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