Individual
AVERY LUIS VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
682 PLEASANT DR, WARREN, PA 16365-3499
(814) 723-7060
Mailing address
119 N SOUTH ST, WARREN, PA 16365-2762
(814) 779-8502
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
12/09/2025
Last updated
12/09/2025
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