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Individual

SONIA M AVERY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
4208 PARRY DR, PEARLAND, TX 77584-1477
(713) 826-8137
Mailing address
4208 PARRY DR, PEARLAND, TX 77584-1477
(713) 826-8137

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212060
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
212060
TBOT
TX
Enumeration date
09/06/2018
Last updated
09/06/2018
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