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Individual
MISS HEATHER AVERY
Active
Individual
MISS HEATHER AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27934
FL
2251P0200X
Pediatric Physical Therapist
11760
NC
2251P0200X
Pediatric Physical Therapist
1193767
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007341300
—
FL
Enumeration date
03/24/2009
Last updated
01/02/2013
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