# AVERY MARK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124907282
- **Gender:** F
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225XP0200X | Pediatric Occupational Therapist | 056.016671 | IL | — |

## Other

- **Enumeration date:** 09/01/2025
- **Last updated:** 09/23/2025