Individual provider · Type 1 NPI

Lori Ouellette Humphreys, PT

Specialist · San Jose, CA

NPI number 1982856969 Active

Practice location

841 Blossom Hill Road, Suite 103
San Jose, CA 95123

Call (408) 365-8400 Map

Mailing address

745 Millswood Ct
San Jose, CA 95120-2224

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X18218 (CA)

Specialist: 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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About NPI 1982856969

Lori Ouellette Humphreys, PT's National Provider Identifier is 1982856969, issued on Oct 21, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in San Jose, CA. The record was last updated on Mar 28, 2022.