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Jenna Humbert

Occupational Therapist in Stillwater, MN. Individual provider (NPI-1).

NPI number1194359380
StatusActive
Last updated in NPPESFeb 26, 2020

Details

NPI
1194359380
Entity type
Individual (NPI-1)
Name
Jenna Humbert
Sex
Female
Sole proprietor
No
Enumeration date
Feb 26, 2020
Certification date
Feb 26, 2020
Last updated
Feb 26, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational Therapist–MNYes

Practice location

1111 Holcombe St S
Stillwater, MN 55082-5736

Phone 651-315-5096

Mailing address

1000 Walnut St
Hastings, MN 55033-2346

Phone 651-315-5096

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