Individual
AVERY CARR-BOYD NILSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12 UPPER RAGSDALE DR, SUITE B, MONTEREY, CA 93940-5730
(831) 375-1562
(831) 375-1561
Mailing address
980 CASS ST, SUITE A, MONTEREY, CA 93940-4548
(831) 375-1135
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
39703
CA
Other
Enumeration date
11/13/2013
Last updated
01/03/2017
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