Individual
TANYIA LYNN AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
4125 239TH PL SE, ISSAQUAH, WA 98029-7591
(425) 647-0520
Mailing address
1567 HIGHLANDS DR NE STE 110, ISSAQUAH, WA 98029-6256
(425) 414-2131
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4476
AZ
225X00000X
Occupational Therapist
Primary
OT 60298406
WA
225XP0019X
Physical Rehabilitation Occupational Therapist
4476
AZ
225XP0200X
Pediatric Occupational Therapist
4476
AZ
Other
Enumeration date
12/01/2009
Last updated
10/25/2023
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